Most Relevant Information
Provider Data
| NPI Number: | 1003813502 |
| Provider Name: | SCOTT A GREEN D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 204C00000X |
| Specialty: | Neuromusculoskeletal Medicine, Sports Medicine |
| License Number: | 000346 |
Most Important Dates
| Enumeration Date: | 06/30/2005 |
| Last Updated: | 09/03/2015 |
Provider Practice Location
35 KENNEDY DR
PUTNAM
CT
062601939
Practice Location Phone/Fax
| Phone: | 8609632133 |
| Fax: | 8609638955 |
Provider Mailing Location
35 KENNEDY DR
PUTNAM
CT
062601939
Provider Mailing Phone/Fax
| Phone: | 8609632133 |
| Fax: | 8609638955 |