MARY ETOSHA GREEN

MANCHESTER, CT
NPI1154827350
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: CT  74633)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-04-05
Last Update Date2023-08-14
Business Address
MARY ETOSHA GREEN MD
71 HAYNES ST
MANCHESTER, CT 06040-4131
Phone number: 860-646-1222
Mailing Address
MARY ETOSHA GREEN MD
PO BOX 844770
BOSTON, MA 02284-4770
Phone number: