Individual
DR. BENJAMIN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
495 HIGHLAND BLVD STE 103, COATESVILLE, PA 19320-5822
(610) 343-3668
(610) 365-4991
Mailing address
495 HIGHLAND BLVD STE 103, COATESVILLE, PA 19320-5822
(610) 343-3668
(610) 365-4991
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
0103301302
VA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC007230
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2017
Last updated
10/14/2025
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