Alysia L Green
Family Doctor - Sports Medicine
915 Commonwealth Ave Rear
Boston
, Massachusetts 02215-1394
Alysia L Green
Family Doctor - Sports Medicine
915 Commonwealth Ave Rear
Boston
, Massachusetts 02215-1394
(617) 414-6034
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Alysia L Green
- 801 Albany St Fl G
- Boston, MA
- Zip : 02119-3791
- Phone : (617) 414-6034
Second Address
- Alysia L Green
- 915 Commonwealth Ave Rear
- Boston, MA
- Zip : 02215-1394
- Fax : (617) 358-3710
- Phone : (617) 358-3400
Reviews
FAQs
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Is Alysia L Green a sole practitioner?
Is Alysia L Green accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 232853 | MA |
National Provider Identifier
| NPI | 1013124296 |
|---|---|
| Provider Name | Alysia L Green |
| First Address | Boston, MA 02119-3791 |
| Second Address | Boston, MA 02215-1394 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2007 |
| Last Update Date | 06/04/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 110076162A | (05) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.