Stuart Alan Green in Long Beacg - Specialist

Stuart Alan Green - NPI 1881702504

Stuart Alan Green is a Specialist in Long Beacg, California. Stuart Alan Green practices all healthcare services and medical treatments related to Specialist. The NPI Number for Stuart Alan Green is 1881702504. The last update date is 2007-12-21.

Stuart Alan Green's current location address is 1040 Elm Avenue, Long Beacg, California. You can contact this provider via phone number 5624303561 and fax number 5624318882. The mailing address for Stuart Alan Green is 1040 Elm Avenue, Long Beacg, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Stuart Alan Green
Address 1040 Elm Avenue, Long Beacg, California
Phone Number 5624303561
Fax Number 5624318882
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1881702504
Provider Enumeration Date 2006-08-25
Last Updated Date 2007-12-21

Provider Mailing Address Detail

Address 1040 Elm Avenue
City Long Beacg
State California (CA)
Post Code 908133265
Phone Number 5624303561
Fax Number 5624318882

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No G22945
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
G22945 CA LICENSE
00G229450 CA --

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FAQs about Stuart Alan Green

What is the unique provider identifier assigned to Stuart Alan Green?

The Stuart Alan Green has been issued the NPI (National Provider Identifier) 1881702504 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Stuart Alan Green is physically located?

The Stuart Alan Green is situated at the following address: 1040 Elm Avenue, Long Beacg, CA 908133265.

What is the area of specialization for Stuart Alan Green, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Stuart Alan Green is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.

On what date was the 1881702504 assigned to Stuart Alan Green?

The Stuart Alan Green was issued its 1881702504 on 2006-08-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Stuart Alan Green, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Stuart Alan Green, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-12-21.

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