Individual
DR. DAVID A. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
777 BLOOMFIELD AVE, GLEN RIDGE, NJ 07028-2325
(973) 429-0462
(973) 429-8765
Mailing address
375 MOUNT PLEASANT AVE, SUITE 250, WEST ORANGE, NJ 07052-2750
(973) 323-1320
(973) 323-1347
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
262278
NY
Other
Enumeration date
02/16/2012
Last updated
06/21/2024
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