Individual
DR. JODY ELLEN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6420 ROCKLEDGE DR, #2500, BETHESDA, MD 20817-7837
(301) 530-9200
(301) 530-9442
Mailing address
5505 DURBIN RD, BETHESDA, MD 20814-1011
(301) 986-0826
(301) 986-0351
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D0052444
MD
208VP0000X
Pain Medicine Physician
D0052444
MD
Other
Enumeration date
08/30/2006
Last updated
09/18/2007
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