Ronald S Green
Gastroenterologist
25 Newell Rd Suite E-36
Bristol
, Connecticut 06010-5100
Ronald S Green
Gastroenterologist
25 Newell Rd Suite E-36
Bristol
, Connecticut 06010-5100
(860) 585-9848
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Ronald S Green
- 25 Newell Rd Suite E-36
- Bristol, CT
- Zip : 06010-5100
- Fax : (860) 585-9848
- Phone : (860) 583-9252
Second Address
- Ronald S Green
- 25 Newell Rd Suite E-36
- Bristol, CT
- Zip : 06010-5100
- Fax : (860) 585-9848
- Phone : (860) 583-9252
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | 017324 | CT |
National Provider Identifier
| NPI | 1003873571 |
|---|---|
| Provider Name | Ronald S Green |
| First Address | Bristol, CT 06010-5100 |
| Second Address | Bristol, CT 06010-5100 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/04/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D76947 | (02) |
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.