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Individual
MRS. SANDRA ROSE GREEN
Active
Individual
MRS. SANDRA ROSE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MEDICAL TRANSPORT
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
G73056897951662
NJ
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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