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1063943132
ANDREW GREEN
PORTSMOUTH, VA
NPI
1063943132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: VA 0101272008)
Enumeration Date
2017-03-21
Last Update Date
2023-12-12
Business Address
ANDREW GREEN
3636 HIGH ST
PORTSMOUTH, VA 23707-3236
Phone number: 757-398-2200
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Mailing Address
ANDREW GREEN
800 CRAWFORD ST APT 101
PORTSMOUTH, VA 23704-2334
Phone number: 952-212-1127
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