Individual
JEFFREY EMANUEL GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10600 TANAGER LN, POTOMAC, MD 20854-6316
(301) 332-0467
Mailing address
10600 TANAGER LN, POTOMAC, MD 20854-6316
(301) 332-0467
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
D0031283
MD
208000000X
Pediatrics Physician
D0031283
MD
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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