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Organization

JOHN N GREEN, M.D.,PA

Active
Parent organization
JOHN N GREEN, M.D.,PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
JOHN N GREEN, M.D.,PA
Authorized official
DR. JOHN NEZZEL GREEN M.D. (PRESIDENT)
(973) 669-1111
Entity
Organization

Contact information

Practice address
61 MAIN ST, SUITE B, WEST ORANGE, NJ 07052-5311
(973) 669-1111
(973) 669-3535
Mailing address
61 MAIN ST, SUITE B, WEST ORANGE, NJ 07052-5311
(973) 669-1111
(973) 669-3535

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MA40057
NJ

Other

Enumeration date
04/04/2007
Last updated
07/13/2012
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