Individual
DR. MICHAEL D. GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
380 KENWOOD ST, ENGLEWOOD, NJ 07631-5118
(201) 602-4444
Mailing address
380 KENWOOD ST, ENGLEWOOD, NJ 07631-5118
(201) 602-4444
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
120848-1
NY
2085R0202X
Diagnostic Radiology Physician
25MA03795000
NJ
Other
Enumeration date
09/21/2006
Last updated
08/15/2025
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