Mary Etosha Green, MD
NPI #1154827350 in Manchester, Connecticut
Provider Information
- NPI Number
- 1154827350
- Entity Type
- Individual
- Name
- Mary Etosha Green, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pathology - Anatomic Pathology & Clinical Pathology
- Credential
- MD
- Enumeration Date
- Apr 5, 2018
- Last Updated
- Aug 14, 2023
Practice Location
- Address
- 71 HAYNES ST
- City
- Manchester
- State
- Connecticut
- ZIP Code
- 06040-4131
- Phone
- (860) 646-1222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Pathology - Anatomic Pathology & Clinical Pathology — Anatomic Pathology & Clinical Pathology |
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