Shirley R Greene (NPI# 1619998366, PAC ID# 6305872979) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1619998366 |
| PAC ID by PECOS | 6305872979 |
| Professional Enrollment ID | I20050714000652 |
| Full Name | Shirley R Greene |
| Address |
39 Plymouth St Holbrook MA 02343-1510 |
| Phone Number | 7817674207 |
| Gender | F |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF PENNSYLVANIA |
| Graduation Year | 1975 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220111 | GOOD SAMARITAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 39 Plymouth St, Holbrook, MA 02343-1510 | 7817674207 |
| Street Address |
39 PLYMOUTH ST |
| City | HOLBROOK |
| State | MA |
| Zip | 02343-1510 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ravinder S Soodan | Internal Medicine | 169 N Franklin St, Holbrook, MA 02343-1111 | |
| Brendan M Aikens | Physical Therapy | Lc Holbrook, Inc. | 169 N Franklin St, National Physical Therapy, Holbrook, MA 02343-1111 |
| City | HOLBROOK |
| Zip Code | 02343 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | HOLBROOK + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Shirley R Greene.
| 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.