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Organization

JEFFREY E. GREEN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY GREEN (PROVIDER)
(301) 332-0467
Entity
Organization

Contact information

Practice address
10600 TANAGER LN, POTOMAC, MD 20854-6316
(301) 332-0467
Mailing address
10600 TANAGER LN, POTOMAC, MD 20854-6316
(301) 332-0467

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
D0031283
MD

Other

Enumeration date
04/07/2015
Last updated
04/07/2015
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