Individual
KIRSTEN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-2232
Mailing address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB09218800
NJ
Other
Enumeration date
06/18/2009
Last updated
07/11/2016
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