Individual
STEPHANIE MARIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 FRANKFORD AVE, PHILADELPHIA, PA 19124-3602
(215) 744-1302
(215) 744-2544
Mailing address
432 N 6TH ST, PHILADELPHIA, PA 19123-4004
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
MW010179
PA
Other
Enumeration date
07/28/2008
Last updated
07/28/2008
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