Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | MD020354E | PA |
N | 2080P0201X | Pediatric Allergist | MD020354E | PA |
NPI | 1487766952 |
---|---|
Provider Name | Dr. Linda Diane Green |
First Address | Havertown, PA 19083-4400 |
Second Address | Havertown, PA 19083-4439 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 19/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000844653 | (05) | PA |
0036284000 | INDEPENDENCE BLUE CROSS (01) | PA |
192498 | BLUE SHIELD (01) | PA |
232571967 | AETNA (01) | PA |
232571967 | BENEFIT CONCEPTS (01) | PA |
232571967 | CIGNA (01) | PA |
232571967 | GUARDIAN (01) | PA |
232571967 | HEALTH AMERICA (01) | PA |
23-2571967 | UNITED HEALTHCARE (01) | PA |
30102 | KEYSTONE MERCY HEALTH PLA (01) | PA |
4577294 | AETNA HMO (01) | PA |
5648713 | CIGNA HMO (01) | PA |
787324 | FIRST HEALTH (01) | PA |
A92498 | AMERIHEALTH ADMINISTRATOR (01) | PA |
C33176 | (02) |