Individual
DR. JASON D GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
532 LAFAYETTE RD, SUITE 100, SPARTA, NJ 07871-4411
(973) 383-3730
(973) 383-2285
Mailing address
532 LAFAYETTE RD, SUITE 300, SPARTA, NJ 07871-4411
(973) 940-0423
(973) 940-0399
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
176080
NY
208C00000X
Colon & Rectal Surgery Physician
Primary
25MA08183300
NJ
Other
Enumeration date
12/08/2005
Last updated
08/24/2012
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