Individual
DR. DAVID ALAN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-2065
(908) 522-5763
Mailing address
PO BOX 412826, BOSTON, MA 02241-2526
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
195970
NY
2085R0202X
Diagnostic Radiology Physician
Primary
25MA08868000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01797828
—
NY
Enumeration date
09/26/2005
Last updated
09/24/2024
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