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NPI Code Detail

MEDICARE: STANLEY W. GREEN M.D.

MEDICARE: STANLEY W. GREEN M.D.
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
1208M00000XHospitalist PhysicianMD462458PA
2207Q00000XFamily Medicine PhysicianMD462458PA

General Provider Information

NPI Number : 1952741423
Entity Type Code : Individual
Provider Name (Legal Business Name) : STANLEY W. GREEN M.D.
Provider Business Mailing Address
First Line : 2830 EASTON AVE
Second Line :
City : BETHLEHEM
State : PA
Zip : 18017-4204
Country : US
Telephone Number : 484-526-3555
Fax Number : 484-526-3693
Provider Business Practice Location Address
First Line : 320 E NORTH AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15212-4756
Country : US
Telephone Number : 412-359-3030
Fax Number : 412-359-3060
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2013
Last Update Date : 05/28/2026

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