Organization
GREEN LINE BUSINESS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERIK HUMPHREYS (CHIEF TECHNOLOGY OFFICER)
(302) 635-0581
Entity
Organization
Contact information
Practice address
1 INNOVATION WAY, NEWARK, DE 19711-5442
(302) 635-0581
Mailing address
1 INNOVATION WAY, NEWARK, DE 19711-5442
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/13/2022
Last updated
08/08/2023
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