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Ivan R Green, MD
Diagnostic Radiology Physician in Worcester, Massachusetts
NPI 1215989199

Ivan R Green is a Diagnostic Radiology Physician based in Worcester, MA and is specialized in Diagnostic Radiology. Ivan R Green practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Ivan R Green is 1215989199 and holds a License No. 36946 (Massachusetts).

The current practice location address for Ivan R Green is 135 Gold Star Blvd, Worcester, MA and can be reached out via phone at 508-853-2716 and via fax at 508-856-9025.

Location: 135 Gold Star Blvd, Worcester, MA, 01605-2038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215989199
Provider Name
Ivan R Green
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
135 Gold Star Blvd, Worcester, MA, 01605-2038
Phone Number
508-853-2716
Fax Number
508-856-9025
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
135 Gold Star Blvd
City
Worcester
State
Massachusetts
Zip
01606
Phone Number
508-853-2716
Fax Number
508-856-9025
person
Provider Business Mailing Address Details
Address
135 Gold Star Blvd
City
Worcester
State
Massachusetts
Zip
01606
Phone Number
508-853-2716
Fax Number
508-856-9025
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
36946 (Massachusetts)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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