Individual
HOWARD GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
580 W GERMANTOWN PIKE, SUITE 100, PLYMOUTH MEETING, PA 19462
(610) 828-7288
(610) 828-8556
Mailing address
580 W GERMANTOWN PIKE, SUITE 100, PLYMOUTH MEETING, PA 19462
(610) 825-7288
(610) 828-8556
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002526L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0048247000
KEYSTONE
PA
05
—
0983890
—
PA
01
—
50144
AETNA
PA
Enumeration date
08/21/2006
Last updated
02/18/2022
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