Individual
CYRUS GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
5 PRAIRIE LN, BAYVILLE, NJ 08721-2249
(732) 614-7929
Mailing address
5 PRAIRIE LN, BAYVILLE, NJ 08721-2249
(732) 614-7929
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F04230555
NJ
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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