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Individual

ERIC A GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A.,FAA

Contact information

Practice address
92 BROADWAY STE B, DENVILLE, NJ 07834-2733
(973) 627-0009
(973) 627-3962
Mailing address
92 BROADWAY, DENVILLE, NJ 07834-2761
(973) 627-0009
(973) 627-3962

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
41YA00066900
NJ
231H00000X
Audiologist
669
NJ

Other

Enumeration date
06/12/2013
Last updated
03/29/2019
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