Mark Green, MD
Psychiatry & Neurology, Psychiatry in Belmont, Massachusetts
1407075294- Practice location
- 90 Concord Ave, Belmont, MA 02478-4046
- Phone
- 857-598-2808
- Fax
- 857-598-2864
- Last updated
- July 15, 2015
Mark Green is a Psychiatry & Neurology, Psychiatry based in Belmont, MA. Mark Green practices in Belmont, MA and has the professional credentials of MD. The NPI Number for Mark Green is 1407075294 and holds a License No. 222713 (MA). The current practice location address for Mark Green is 90 Concord Ave, Belmont, MA 02478-4046 and can be reached out via phone at 857-598-2808 and via fax at 857-598-2864.
Provider Profile Details
- NPI Number
- 1407075294
- Provider Name
- Mark Green
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 90 Concord Ave, Belmont, MA 02478-4046
- Phone Number
- 857-598-2808
- Fax Number
- 857-598-2864
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 24, 2007
- Last Update Date
- July 15, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 90 Concord Ave
Belmont, MA 02478-4046 - City
- Belmont
- State
- Massachusetts
- Zip
- 02478-4046
- Phone Number
- 857-598-2808
- Fax Number
- 857-598-2864
Provider Business Mailing Address Details
- Address
- 90 Concord Ave
Belmont, MA 02478-4046 - City
- Belmont
- State
- MA
- Zip
- 02478-4046
- Phone Number
- 857-598-2808
- Fax Number
- 857-598-2864
License Information
- License Number (1)
- 222713
- License State (1)
- MA
- Taxonomy (1)
- Psychiatry & Neurology, Addiction Medicine · 2084A0401X
- License Number (2)
- 222713
- License State (2)
- MA
- Taxonomy (2)
- Psychiatry & Neurology, Addiction Psychiatry · 2084P0802X
- License Number (3)
- 222713
- License State (3)
- MA
- Taxonomy (3)
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mark Green, MD?
The NPI number of Mark Green, MD is 1407075294. It was assigned on April 24, 2007 and is currently active in the NPPES registry.
What is the specialty of Mark Green, MD?
Mark Green, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in MA under license number 222713.
Where does Mark Green, MD practice?
The practice location is 90 Concord Ave, Belmont, MA 02478-4046. The office can be reached at 857-598-2808 (phone) or 857-598-2864 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407075294 directly on the NPPES registry website.