Jean E Green


Address: 30 Sever St, Worcester, MA 01609-2194

Jean E Green (NPI# 1639232903, PAC ID# 3779527536) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL.

Physician Overview

Nation Provider ID (NPI) 1639232903
PAC ID by PECOS 3779527536
Professional Enrollment ID I20050614000172
Full Name Jean E Green
Address 30 Sever St
Worcester
MA 01609-2194
Gender F
Credential MNT
Graduation Year 1978
Primary Specialty REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1 Meeting House Rd, Suite 16, Chelmsford, MA 01824-2737
30 Sever St, Worcester, MA 01609-2194

Organization Information

Office Location

Street Address 30 SEVER ST
City WORCESTER
State MA
Zip 01609-2194

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Competitor

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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