Provider Demographics
NPI:1386957876
Name:GREENE, DANIEL PHILLIP (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:PHILLIP
Last Name:GREENE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4600 COX RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-6708
Mailing Address - Country:US
Mailing Address - Phone:804-270-0330
Mailing Address - Fax:804-270-1003
Practice Address - Street 1:10800 MIDLOTHIAN TPKE
Practice Address - Street 2:SUITE 127
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-4700
Practice Address - Country:US
Practice Address - Phone:804-897-1510
Practice Address - Fax:804-897-1692
Is Sole Proprietor?:No
Enumeration Date:2010-07-26
Last Update Date:2015-07-18
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Provider Licenses
StateLicense IDTaxonomies
CAA130722207W00000X
VA0101257472207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology