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Individual

DR. ILAN GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
827 W LANCASTER AVE FL 2, BRYN MAWR, PA 19010-3436
(610) 808-9960
(610) 808-9960
Mailing address
827 W LANCASTER AVE FL 2, BRYN MAWR, PA 19010-3436
(610) 808-9960
(610) 808-9960

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH61013340
WA
111N00000X
Chiropractor
Primary
DC011631
PA

Other

Enumeration date
11/27/2019
Last updated
06/21/2021
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