Mary Etosha Green, MD
Mary Etosha Green, MD is a Pathology in Manchester, Connecticut. Qualified in 2018, 8 years ago. Practices with Eastern Connecticut Pathology Consultants, PC, a 19-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Connecticut.
- Years since qualifying
- 8
- Licensed in
- CT
- In the registry since
- 2018
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
Manchester, CTFax: (866) 623-8110
No coordinates on file. Search this address in Google Maps
Additional practice locations (3)
- 31 Union St, Vernon, CT 06066-3126 — (860) 646-1222
- 64 Robbins St, Waterbury, CT 06708-2613 — (860) 646-1222
- One Medical Center Blvd Winston Salem, Winston Salem, NC 27157-0001 — (337) 716-9954
Specialties & licences
| Anatomic Pathology & Clinical Pathology Physician (primary) | Taxonomy 207ZP0102X · Licence 74633 (CT) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1154827350 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 5, 2018 |
| Last updated in NPPES | August 14, 2023 |
| Certification date | August 14, 2023 |
Medicare enrollment
| Medicare specialty | PATHOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Eastern Connecticut Pathology Consultants, Pc — 19 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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