Healthcare Provider Details

I. General information

NPI: 1598876740
Provider Name (Legal Business Name): DR'S GREEN, SCOBIE & ASHBURN, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 06/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 WASHINGTON HEIGHTS MEDICAL CENTER
WESTMINSTER MD
21157
US

IV. Provider business mailing address

230 WASHINGTON HEIGHTS MEDICAL CENTER
WESTMINSTER MD
21157
US

V. Phone/Fax

Practice location:
  • Phone: 410-848-4424
  • Fax: 410-876-5330
Mailing address:
  • Phone: 410-848-4424
  • Fax: 410-876-5330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL J SCOBIE
Title or Position: PRESIDENT
Credential: MD
Phone: 410-848-4424