Individual
DR. GERALD GREEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
320 MIDDLETOWN BLVD, LANGHORNE, PA 19047-3204
(215) 752-0382
(221) 575-2480
Mailing address
320 MIDDLETOWN BLVD, LANGHORNE, PA 19047-3204
(215) 752-0382
(221) 575-2480
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OS003032L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006143680004
—
PA
Enumeration date
02/14/2006
Last updated
07/08/2007
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