Glen A. Green
M.D. | Pediatric Neonatal-Perinatal Medicine | Male
Glen A. Green, M.D. is a Norfolk, Virginia based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Glen A. Green is
601 Childrens Ln, Norfolk, Virginia - 23507-1910. He can be contacted on phone at
757-668-7456 and fax number 757-668-9255.
Glen A. Green is a sole proprietor of his business.
NPI number (Unique professional ID) for Glen A. Green is
1477505907 which was assigned by NPPES on 16 May, 2006 and it was last updated on 09 Dec, 2009.
Glen A. Green license number is
0101039300 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Virginia.
Glen A. Green is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Glen A. Green basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Glen A. Green |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Glen A. Green address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 601 Childrens Ln
Norfolk, VA, 23507-1910
United States |
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| Phone Number : | 757-668-7456 |
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| Fax Number : | 757-668-9255 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
| NPI Number : | 1477505907 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 16 May, 2006 |
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| Last Updated On : | 09 Dec, 2009 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Glen A. Green are as mentioned. Primary taxonomy code for Glen A. Green, M.D. is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 0101039300 | VA |
| 207L00000X | Anesthesiology | No | 0101039300 | VA |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 0101039300 | VA |
Legacy Identifiers:
Other legacy medical identifiers of Glen A. Green such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 006722164 | MEDICAID | VA | |
| 0018694320001 | MEDICAID | PA | |
| 119981100 | MEDICAID | MD | |
| 1802339000 | MEDICAID | WV | |
| 0000931601 | MEDICAID | DE | |
| 890677B | MEDICAID | NC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 79137
Baltimore, MD, 21279-0137
United States |
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| Phone Number : | 757-668-7200 |
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| Fax Number : | 757-668-9691 |
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Business Location:
Patients can refer following map for directions to
Glen A. Green practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.