Provider Demographics
NPI:1487614624
Name:GREEN, ALAN J (MD)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:J
Last Name:GREEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:280 MAIN ST
Mailing Address - Street 2:SUITE 131
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-2921
Mailing Address - Country:US
Mailing Address - Phone:603-882-0555
Mailing Address - Fax:603-882-0360
Practice Address - Street 1:280 MAIN ST
Practice Address - Street 2:SUITE 131
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-2921
Practice Address - Country:US
Practice Address - Phone:603-882-0555
Practice Address - Fax:603-882-0360
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2009-09-10
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Provider Licenses
StateLicense IDTaxonomies
NH5783207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA715576OtherTUFTS HEALTH PLAN
NH0740574OtherUNITED HEALTHCARE
NH3406994OtherAETNA HEALTHCARE
NH043775640OtherHCVM/FIRST HEALTH
NHE17071OtherHARVARD PILGRIM
NH0104790Y0NH02OtherANTHEM BCBS NH
NH30203932Medicaid
MARE0578OtherBCBSMA
NH043775640OtherPRIVATE HEALTH CARE SYST
NH043775640OtherGREAT WEST HEALTH CARE
NV3310OtherHEALTHSOURCE
NHP00108651Medicare ID - Type UnspecifiedRAILROAD MEDICARE
MARE0578OtherBCBSMA
NHE17071OtherHARVARD PILGRIM