Leon Green is a Health Service in East Brunswick, New Jersey. Leon Green practices all healthcare services and medical treatments related to Health Service. The NPI Number for Leon Green is 1194820464. The last update date is 2007-07-08.
Leon Green's current location address is 39 Gage Road, East Brunswick, New Jersey. You can contact this provider via phone number 7325452890 and fax number 7325452890. The mailing address for Leon Green is 39 Gage Road, East Brunswick, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leon Green |
|---|---|
| Address | 39 Gage Road, East Brunswick, New Jersey |
| Phone Number | 7325452890 |
| Fax Number | 7325452890 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1194820464 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 39 Gage Road |
|---|---|
| City | East Brunswick |
| State | New Jersey (NJ) |
| Post Code | 8816 |
| Phone Number | 7325452890 |
| Fax Number | 7325452890 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 103Th0100X |
| Licence No | 35SI00202600 |
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What is the unique 10-digit identification code issued to Leon Green by the Centers for Medicare & Medicaid Services?
The Leon Green has been assigned the NPI (National Provider Identifier) 1194820464 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Leon Green?
The Leon Green is situated at 39 Gage Road, in the city of East Brunswick, state of NJ, with the zip code 8816.
What is Leon Green's specialized field of practice, and what is the corresponding taxonomy classification code?
The Leon Green's area of specialization is Health Service, and the corresponding taxonomy code that categorizes this field of practice is 103Th0100X.
On what date did the Centers for Medicare & Medicaid Services assign the 1194820464 to Leon Green?
The Centers for Medicare & Medicaid Services assigned the 1194820464 to Leon Green on 2006-09-13.
As of what date were the details pertaining to Leon Green last refreshed?
The information related to the Leon Green, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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