Individual
DR. DOUGLAS STEWART GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1199 PLEASANT VALLEY WAY, KESSLER INSTITUTE FOR REHABILITATION, WEST ORANGE, NJ 07052
(973) 325-6210
(973) 243-6861
Mailing address
1199 PLEASANT VALLEY WAY, KESSLER INSTITUTE FOR REHABILITATION, WEST ORANGE, NJ 07052
(973) 325-6210
(973) 243-6861
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MA45011
NJ
207RP1001X
Pulmonary Disease Physician
Primary
MA45011
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1551579
OXFORD INSURANCE
—
05
—
1948504
—
NJ
01
—
290008079
PALMETTO
—
01
—
44611
AETNA
—
01
—
F02745
HEALTHNET
—
Enumeration date
03/09/2006
Last updated
12/21/2018
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