Dr. Charles E Green
Gastroenterologist
48 Tunnel Rd Suite 104
Pottsville
, Pennsylvania 17901-3875
Dr. Charles E Green
Gastroenterologist
48 Tunnel Rd Suite 104
Pottsville
, Pennsylvania 17901-3875
(570) 622-2160
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Dr. Charles E Green
- 48 Tunnel Rd Suite 104
- Pottsville, PA
- Zip : 17901-3875
- Fax : (570) 622-2160
- Phone : (570) 622-5555
Second Address
- Dr. Charles E Green
- 48 Tunnel Rd Suite 104
- Pottsville, PA
- Zip : 17901-3875
- Fax : (570) 622-2160
- Phone : (570) 622-5555
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | MD023441E | PA |
National Provider Identifier
| NPI | 1023082054 |
|---|---|
| Provider Name | Dr. Charles E Green |
| First Address | Pottsville, PA 17901-3875 |
| Second Address | Pottsville, PA 17901-3875 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/02/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C28858 | (02) | PA |
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.