Organization
DONALD H GREEN MD PA
Active
Organization
DONALD H GREEN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD HENRY GREEN MD (PRESIDENT)
(973) 773-9882
Entity
Organization
Contact information
Practice address
925 CLIFTON AVENUE, SUITE 207, CLIFTON, NJ 07013-2724
(973) 773-9882
(973) 773-9884
Mailing address
925 CLIFTON AVENUE, SUITE 207, CLIFTON, NJ 07013-2724
(973) 773-9882
(973) 773-9884
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MA03186600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0097294
GHI
—
01
—
0K0250
FIRST OPTION
—
01
—
36089
AETNA US HEALTHCARE
—
01
—
5356498
CIGNA
—
01
—
950921
EMPIRE HEALTHCARE
—
Enumeration date
09/28/2006
Last updated
08/22/2020
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