JONATHAN RUSSELL GREEN

BALTIMORE, MD
NPI1356181531
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies207P00000X Emergency Medicine
(Licence: MD  C0009439)
Enumeration Date2024-05-28
Last Update Date2024-08-21
Business Address
JONATHAN RUSSELL GREEN PA-C
1800 ORLEANS ST
BALTIMORE, MD 21287-0010
Phone number: 410-955-5000
Mailing Address
JONATHAN RUSSELL GREEN PA-C
6201 GREENLEIGH AVE
MIDDLE RIVER, MD 21220-2004
Phone number:
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