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Alan Rustin Greene

Pediatrics

Allopathic & Osteopathic Physicians

730 Welch Rd, Primary Care Clinic, First Floor, Palo Alto, CA 94304-1503

PECOS Enrollment

This provider is enrolled in PECOS as ALAN GREENE.

Based on the most recent information from CMS, provider Alan Rustin Greene is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1699822304
Provider Type
Individual
Full Name
Greene, Alan Rustin
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
1/4/2007
Last Updated
7/8/2007

Contact Information

Practice Location

730 Welch Rd, Primary Care Clinic, First Floor, Palo Alto, CA 94304-1503

(925) 964-1793

(925) 964-1794

Mailing Location

9000 Crow Canyon Rd, Ste S-220, Danville, CA 94506-1189

(925) 964-9464

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License G063446 California

Alan Rustin Greene

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Le, Camha Thi

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Dunn, Emily

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Jose, Jerin Tresa