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NPI Code Detail

MEDICARE: DR. THOMAS EDWARD GREENE M.D

MEDICARE: DR. THOMAS EDWARD GREENE 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
1207X00000XOrthopaedic Surgery Physician25MA10253600NJ
2207XX0005XSports Medicine (Orthopaedic Surgery) PhysicianMD028898EPA
3207X00000XOrthopaedic Surgery PhysicianMD028898EPA

Other Identifiers

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

General Provider Information

NPI Number : 1992703565
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS EDWARD GREENE M.D
Provider Business Mailing Address
First Line : 833 CHESTNUT ST STE 520
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19107-4430
Country : US
Telephone Number : 800-321-9999
Fax Number : 267-339-3761
Provider Business Practice Location Address
First Line : 1200 MANOR DR
Second Line :
City : CHALFONT
State : PA
Zip : 18914-2282
Country : US
Telephone Number : 267-339-3558
Fax Number : 267-339-3763
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 05/21/2024

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Directions to “ DR. THOMAS EDWARD GREENE M.D” Practice Location

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