Individual
DR. JOSHUA B. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
54-383 HOSPITAL RD, KAPAAU, HI 96755-0010
(808) 547-9593
(808) 599-2714
Mailing address
PO BOX 390028, KEAUHOU, HI 96739-0028
(808) 937-0991
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD 11173
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50056306
—
HI
01
—
H0221542
SHIELD/HMSA
HI
Enumeration date
06/27/2006
Last updated
07/08/2007
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