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Eric Green, MD

Student in an Organized Health Care Education/Training Program in Boston, MA. Individual provider (NPI-1).

NPI number1083842298
StatusActive
Last updated in NPPESJun 25, 2009

Details

NPI
1083842298
Entity type
Individual (NPI-1)
Name
Eric Green
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 25, 2009
Last updated
Jun 25, 2009

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - INTERNAL MEDICINE
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program240594MAYes

Practice location

75 Francis St
Boston, MA 02115-6110

Phone 617-983-7699

Mailing address

19 Boylston St
Apt 2
Jamaica Plain, MA 02130-2124

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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