Active NPIIndividual providerSole proprietor

Dr. Gary L Green, MD

Internal Medicine in Scarborough, Maine

NPI Number1770561615
Practice location
400 Enterprise Dr, Scarborough, ME 04074-7662
Fax
207-289-1028
Last updated
June 27, 2011

Gary Lee Green is an Internal Medicine based in Scarborough, ME. Gary Lee Green practices in Scarborough, ME and has the professional credentials of MD. The NPI Number for Gary Lee Green is 1770561615 and holds a License No. 013090 (ME). The current practice location address for Gary Lee Green is 400 Enterprise Dr, Scarborough, ME 04074-7662 and can be reached out via phone at 207-289-1025 and via fax at 207-289-1028.

Provider Profile Details

NPI Number
1770561615
Provider Name
Gary Lee Green
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
400 Enterprise Dr, Scarborough, ME 04074-7662
Phone Number
207-289-1025
Fax Number
207-289-1028
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 1, 2006
Last Update Date
June 27, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 Enterprise Dr
Scarborough, ME 04074-7662
State
Maine
Zip
04074-7662
Phone Number
207-289-1025
Fax Number
207-289-1028
Scarborough, ME 04074Get directions →

Provider Business Mailing Address Details

Address
400 Enterprise Dr
Scarborough, ME 04074-7662
City
Scarborough
State
ME
Zip
04074-7662
Phone Number
207-289-1025
Fax Number
207-289-1028

License Information

License Number
013090
License State
ME
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Gary L Green, MD?

The NPI number of Dr. Gary L Green, MD is 1770561615. It was assigned on January 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Gary L Green, MD?

Dr. Gary L Green, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in ME under license number 013090.

Where does Dr. Gary L Green, MD practice?

The practice location is 400 Enterprise Dr, Scarborough, ME 04074-7662. The office can be reached at 207-289-1025 (phone) or 207-289-1028 (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 1770561615 directly on the NPPES registry website.

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