| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MAXWELL ANDREW GREENE | 1720372576 | 2023-11-10 |
Maxwell Greene [M] graduated in 2011 from Jefferson Medical College Of Thomas Jefferson University and primarily specializes in Neurology.
Maxwell Andrew Greene is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1720372576. Registration indicates Maxwell Andrew Greene is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Psychiatry & Neurology (Psychiatry & Neurology: Neurology, ) (Specialist Network, ) (Psychiatry & Neurology Neurology, Allopathic & Osteopathic Physicians) (Psychiatry & Neurology, ) (Allopathic & Osteopathic Physicians, Psychiatry & Neurology) (Psychiatry & Neurology: Neuromuscular Medicine, ) (Specialist Network, ) (Psychiatry & Neurology Neuromuscular Medicine, Allopathic & Osteopathic Physicians) (Psychiatry & Neurology, )
| PECOS ID | 7315243771 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Maxwell Andrew Greene MD |
| Practice Office Address | 300 PASTEUR DR STANFORD, CA US |
| Practice Office Telephone | 6507234000 |
| Mailing Address | 300 PASTEUR DR STANFORD, CA 943052200 US |
| Business Telephone | 6507234000 |
| Code | Practice | License No State |
|---|---|---|
| 2084N0400X | Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry & Neurology: Neurology Specialist Network Psychiatry & Neurology Neurology Allopathic & Osteopathic Physicians Psychiatry & Neurology | A152405
CA |
| 2084N0008X PRIMARY | Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry & Neurology: Neuromuscular Medicine Specialist Network Psychiatry & Neurology Neuromuscular Medicine Allopathic & Osteopathic Physicians Psychiatry & Neurology | A152405
CA |