Individual
DR. HOLLY L GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
805 COOPER RD STE 3, VOORHEES, NJ 08043-3814
(856) 325-4230
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA12083900
NJ
207Q00000X
Family Medicine Physician
MD070033L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001816648
—
PA
Enumeration date
10/27/2006
Last updated
11/22/2024
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