IVAN R GREEN

WORCESTER, MA
NPI1215989199
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology Diagnostic Radiology
(Licence: MA  36946)
Enumeration Date2006-05-17
Last Update Date2009-02-13
Business Address
IVAN R GREEN MD
135 GOLD STAR BLVD
WORCESTER, MA 01606
Phone number: 508-853-2716
Mailing Address
IVAN R GREEN MD
630 PLANTATION ST
WORCESTER, MA 01605-2038
Phone number: 508-853-2716
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