Provider Demographics
NPI:1598048373
Name:GREENE, DOUGLAS ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:ALAN
Last Name:GREENE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:53 FRONTAGE RD
Mailing Address - Street 2:PERYVILLE III CORPORATE PARK, THIRD FLOOR PO BOX 9001
Mailing Address - City:HAMPTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08827-4031
Mailing Address - Country:US
Mailing Address - Phone:908-238-6602
Mailing Address - Fax:908-238-6699
Practice Address - Street 1:53 FRONTAGE RD
Practice Address - Street 2:PERYVILLE III CORPORATE PARK, THIRD FLOOR
Practice Address - City:HAMPTON
Practice Address - State:NJ
Practice Address - Zip Code:08827-4031
Practice Address - Country:US
Practice Address - Phone:908-238-6602
Practice Address - Fax:908-238-6699
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA02577200207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism