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1932149887
ANDREW GREEN
PROVIDENCE, RI
NPI
1932149887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207XX0005X Orthopaedic Surgery Sports Medicine
(Licence: RI 08413)
Enumeration Date
2006-06-08
Last Update Date
2014-07-09
Business Address
ANDREW GREEN M.D.
2 DUDLEY ST STE 200
PROVIDENCE, RI 02905-3236
Phone number: 401-457-1515
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Mailing Address
ANDREW GREEN M.D.
PO BOX 1119
PROVIDENCE, RI 02901-1119
Phone number: 401-457-1515
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