Shirley R Greene, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · Holbrook, MA
NPI 1619998366 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1619998366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 43495 (MA)
- Practice address
- 39 Plymouth St
Holbrook, MA 02343-1510 - Phone
- (781) 767-4207
- Fax
- (781) 767-4281
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 43495 | MA | Yes |
Addresses
Primary practice location
39 Plymouth St
Holbrook, MA 02343-1510
Mailing address
39 Plymouth St
Holbrook, MA 02343-1510
Phone (781) 767-4207
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043495 | Other | MA | TUFTS |
| D14274 | Other | MA | BLUE CROSS/BLUE SHIELD |
| 0051709001 | Other | MA | CIGNA |
| 2067471 | Medicaid | MA | |
| 6545 | Other | MA | HARVARD PILGRIM HEALTH |
| 04-02041 | Other | MA | UNITED HEALTHCARE |
Other providers in Holbrook, MA
- Robert P Gallagher
- George L. Quireyns, Jr.
- Eileen Ginty
- Matthew M Golembeski
- Green Medical Solutions
- Roberta Guez
- Peter Harenberg
- Richard Alan Harpel
- Leeann Hesselschwerdt
- Holbrook Board of Health
All providers in Holbrook, MA · Cardiovascular Disease Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.