Provider Demographics
NPI:1053385245
Name:GREENE, ARIN K (MD)
Entity type:Individual
Prefix:DR
First Name:ARIN
Middle Name:K
Last Name:GREENE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 414740
Mailing Address - Street 2:BOSTON PLASTIC AND ORAL SURGERY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-0001
Mailing Address - Country:US
Mailing Address - Phone:617-355-2306
Mailing Address - Fax:617-738-1657
Practice Address - Street 1:300 LONGWOOD AVE
Practice Address - Street 2:HU-158
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5724
Practice Address - Country:US
Practice Address - Phone:617-355-2306
Practice Address - Fax:617-738-1657
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2014-07-25
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Provider Licenses
StateLicense IDTaxonomies
MA205307208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2127199Medicaid
MA2127199Medicaid
I65997Medicare UPIN
MAA407020Medicare PIN