| John N Green, M.d.,pa | |
|
61 Main St Suite B West Orange NJ 07052-5311 | |
| (973) 669-1111 | |
| (973) 669-3535 |
| Full Name | John N Green, M.d.,pa |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 61 Main St, West Orange, New Jersey |
| Authorized Official Name and Position | John Nezzel Green (PRESIDENT) |
| Authorized Official Contact | 9736691111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John N Green, M.d.,pa 61 Main St Suite B West Orange NJ 07052-5311 Ph: (973) 669-1111 | John N Green, M.d.,pa 61 Main St Suite B West Orange NJ 07052-5311 Ph: (973) 669-1111 |
| NPI Number | 1417079062 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 07/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417079062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MA40057 (New Jersey) | Primary |
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