DR. JERRY GREENE M.D. NPI 1144318916

NPI Information

NPI: 1144318916
Provider Name: DR. JERRY GREENE, M.D.
Classification: Internal Medicine - 207RR0500X
Entity Type: Individual

Specialization: Rheumatology

Address:
1400 VFW PKWY
C/O MEDICAL SERVICE 111
WEST ROXBURY, MA
ZIP 02132
Phone: (617) 323-7700
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DR. Jerry Greene, M.D. is a rheumatology internal medicine in West Roxbury, MA. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. DR. Jerry Greene, M.D. NPI is 1144318916. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1400 VFW PKWY
C/O MEDICAL SERVICE 111
WEST ROXBURY, MA
ZIP 02132
Phone: (617) 323-7700

The enumeration date for this NPI number is 10/10/2006 and was last updated on 8/31/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RR0500X	Internal Medicine	Rheumatology	45681	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3060019	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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