BRIAN PHILIP GREEN PA

UNIVERSITY OF MARYLAND DERMATOLOGISTS PA

Dr BRIAN PHILIP GREEN PA is a male medical professional, specializing in Dermatology. He graduated in 2005 from Philadelphia College Of Osteopathic Medicine.

Contact

UNIVERSITY OF MARYLAND DERMATOLOGISTS PA

5890 WATERLOO RD
COLUMBIA
MD
210452617

Tel: 6672171171

BRIAN PHILIP GREEN PA Information

Npi 1952523474
Pac Id 5193713311
Professional Enrollment Id I20130926000861
Last Name GREEN
First Name BRIAN
Middle Name PHILIP
Suffix
Gender M
Credential PA
Medical School Name PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 2005
Primary Specialty DERMATOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name UNIVERSITY OF MARYLAND DERMATOLOGISTS PA
Group Practice Pac Id 7810888484
Number Of Group Practice Members 11
Line 1 Street Address 5890 WATERLOO RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City COLUMBIA
State MD
Zip Code 210452617
Phone Number 6672171171
Hospital Affiliation Ccn 1 210002
Hospital Affiliation Lbn 1 UNIVERSITY OF MARYLAND MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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