Mark Green is a Addiction Medicine in Belmont, Massachusetts. Mark Green practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Mark Green is 1407075294. The last update date is 2015-07-15.
Mark Green's current location address is 90 Concord Ave, Belmont, Massachusetts. You can contact this provider via phone number 8575982808 and fax number 8575982864. The mailing address for Mark Green is 90 Concord Ave, Belmont, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Green |
|---|---|
| Address | 90 Concord Ave, Belmont, Massachusetts |
| Phone Number | 8575982808 |
| Fax Number | 8575982864 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1407075294 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2015-07-15 |
Provider Mailing Address Detail
| Address | 90 Concord Ave |
|---|---|
| City | Belmont |
| State | Massachusetts (MA) |
| Post Code | 24784046 |
| Phone Number | 8575982808 |
| Fax Number | 8575982864 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2084A0401X |
| Licence No | 222713 |
|
Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41035810 | CO | -- | |
| 21927 | CO | KAISER COMMERCIAL NUMBER |
Post Comment/ Review Below
What is the unique identification code assigned to Mark Green by the Centers for Medicare & Medicaid Services?
The Mark Green has been issued the NPI (National Provider Identifier) 1407075294. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mark Green's physical address?
The Mark Green is physically located at 90 Concord Ave, in the city of Belmont, MA, with the postal code 24784046.
What is the area of specialization for Mark Green, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mark Green is Addiction Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2084A0401X.
When did the Mark Green receive its 1407075294?
The Mark Green was issued its 1407075294 on 2007-04-24, which is the date when the organization was assigned this unique identifier.
When was the information related to Mark Green most recently updated or refreshed?
The details pertaining to the Mark Green, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-07-15.