Individual
DR. JEFFREY HARRIS GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
170 COLD SOIL ROAD, CEDAR GLEN PROFESSIONAL ASSOCIATION, PRINCETON, NJ 08540-4202
(609) 896-1122
Mailing address
170 COLD SOIL RD, PRINCETON, NJ 08540-4202
(609) 896-1122
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MA47549
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA47549
NJ LICENSE NUMBER
NJ
Enumeration date
03/02/2007
Last updated
07/08/2007
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