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Individual

DR. JOEL G GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
310 LAFAYETTE ST, SALEM, MA 01970-5442
(978) 744-1123
(978) 744-9683
Mailing address
310 LAFAYETTE ST, SALEM, MA 01970-5442
(978) 744-1123
(978) 744-9683

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2901
FL
111N00000X
Chiropractor
Primary
489
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1603531
MA
Enumeration date
12/14/2005
Last updated
07/13/2007
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