MEDICARE: DR. ARTHUR DAVID GREENE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	0101018865	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205834157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARTHUR DAVID GREENE MD

Provider Business Mailing Address
First Line	:	4000 COLISEUM DR
Second Line	:	SUITE 100
City	:	HAMPTON
State	:	VA
Zip	:	23666-5906
Country	:	US
Telephone Number	:	757-827-2480
Fax Number	:	757-827-2566

Provider Business Practice Location Address
First Line	:	4000 COLISEUM DR
Second Line	:	SUITE 100
City	:	HAMPTON
State	:	VA
Zip	:	23666-5906
Country	:	US
Telephone Number	:	757-827-2480
Fax Number	:	757-827-2566

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	07/08/2007

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