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Organization

DR RODNEY A GREEN MD FACS LLC

Active
Other names
ERA Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RODNEY A GREEN MD (OWNER)
(732) 730-7333
Entity
Organization

Contact information

Practice address
539 MARC DR, LAKEWOOD, NJ 08701-5113
(732) 730-7333
(732) 730-7332
Mailing address
539 MARC DR, LAKEWOOD, NJ 08701-5113
(732) 730-7333
(732) 730-7332

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA09515100
NJ

Other

Enumeration date
12/29/2015
Last updated
12/29/2015
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