Organization
GREEN AND GENOVESE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY B GREEN DDS (DENTIST)
(908) 782-1820
Entity
Organization
Contact information
Practice address
105 RT 31, SUITE 100, FLEMINGTON, NJ 08822
(908) 782-1820
(908) 782-5012
Mailing address
105 RT 31, SUITE 100, FLEMINGTON, NJ 08822
(908) 782-1820
(908) 782-5012
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI12724
NJ
1223G0001X
General Practice Dentistry
DI12862
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
414385
UNITED CONCORDIA
—
01
—
414392
UNITED CONCORDIA
—
Enumeration date
12/12/2006
Last updated
08/22/2020
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