Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeremy Green, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104403021

Jeremy Green, MD is a Student in an Organized Health Care Education/Training Program in Farmington, Connecticut. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

263 Farmington Ave
Farmington, CT 06030-0001
Phone: (860) 679-3438
Fax: (860) 679-6109
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1104403021
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2021
Last updated in NPPESMarch 26, 2021
Certification dateMarch 26, 2021

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