Search › Massachusetts › 2086S0120X
Jonathan Green, M.D
NPI 1720425390 · on the registry since 2013
Practice
- Address
- 55 Lake Ave N
Worcester, MA 01655 - Phone
- (508) 856-2128
- Fax
- (774) 443-2043
- Organisation at this address
- Ummhc
Umass Memorial
Umass Memorial
Tele-Physicians Pc
Umass Memorial GroupInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3,027
Additional practice sites
- 1200 Everett Dr Ste 2320, Oklahoma City, OK
Registry record
- Primary taxonomy
- 2086S0120X
2086S0120X
- Also registered as
- 208600000X
2086S0120X - Licence states on file
- MA, OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts