Organization
GREEN STREET MEDICAL
Active
Organization
GREEN STREET MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THUONG LEDINH M.D. (PRESIDENT)
(732) 750-0506
Entity
Organization
Contact information
Practice address
898 GREEN ST, ISELIN, NJ 08830-2121
(732) 750-0506
Mailing address
898 GREEN ST, ISELIN, NJ 08830-2121
(732) 750-0506
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
25MA04182100
NJ
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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