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Mary Etosha Green, MD
Anatomic Pathology & Clinical Pathology Physician in Manchester, Connecticut
NPI 1154827350

Mary Etosha Green is an Anatomic Pathology & Clinical Pathology Physician based in Boston, CT and is specialized in Anatomic Pathology & Clinical Pathology. Mary Etosha Green practices in Manchester, CT and has the professional credentials of MD. The NPI Number for Mary Etosha Green is 1154827350 and holds a License No. (Connecticut).

The current practice location address for Mary Etosha Green is 71 Haynes St, Manchester, CT and can be reached out via phone at 860-646-1222 and via fax at 866-623-8110.

Location: 71 Haynes St, Manchester, CT, 02284-4770
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154827350
Provider Name
Mary Etosha Green
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
71 Haynes St, Manchester, CT, 02284-4770
Phone Number
860-646-1222
Fax Number
866-623-8110
Provider Enumeration Date
04/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
71 Haynes St
City
Manchester
State
Connecticut
Zip
06040-4131
Phone Number
860-646-1222
Fax Number
866-623-8110
person
Provider Business Mailing Address Details
Address
71 Haynes St
City
Manchester
State
Connecticut
Zip
06040-4131
Phone Number
860-646-1222
Fax Number
866-623-8110
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pathology
Speciality
Anatomic Pathology & Clinical Pathology
Taxonomy
207ZP0102X
License No.
74633 (Connecticut)
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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