Individual
DR. WILLIAM J GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
319 W BROAD ST, BURLINGTON, NJ 08016-1343
(609) 386-0217
(609) 386-2205
Mailing address
111 MAPLE GROVE BLVD, LUMBERTON, NJ 08048-4617
(609) 386-0217
(609) 386-2205
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
25MD002143
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040897000
AMERIHEALTH
NJ
01
—
0183361
AETNA
NJ
01
—
1094025
UNITED HEALTHCARE
NJ
01
—
1154339
CIGNA
NJ
05
—
5486904
—
NJ
01
—
P3800567
OXFORD
NJ
Enumeration date
10/03/2005
Last updated
03/07/2008
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