Individual
DR. AMY GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
326 PARK ST, MONTCLAIR, NJ 07043-2232
(973) 783-4669
(973) 783-6288
Mailing address
326 PARK ST, MONTCLAIR, NJ 07043-2232
(973) 783-4669
(973) 783-6288
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA02749900
NJ
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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