Individual
SAMUEL B. GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
435 HURFFVILLE CROSS KEYS RD, TURNERSVILLE, NJ 08012-2453
(856) 582-2816
(856) 582-2712
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(856) 686-4300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MP00063500
NJ
Other
Enumeration date
06/12/2006
Last updated
07/12/2007
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