Provider Demographics
NPI:1639307333
Name:GREENE, FRANCIS THOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:THOMAS
Last Name:GREENE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 N. JUNE ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90004-1011
Mailing Address - Country:US
Mailing Address - Phone:323-461-5898
Mailing Address - Fax:323-461-5865
Practice Address - Street 1:603 N. JUNE ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90004-1011
Practice Address - Country:US
Practice Address - Phone:323-461-5898
Practice Address - Fax:323-461-5865
Is Sole Proprietor?:No
Enumeration Date:2009-07-01
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC32612208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology