Justin Jacob Green in Marlton - Specialist
Justin Jacob Green - NPI 1104894872
Justin Jacob Green is a Specialist in Marlton, New Jersey. Justin Jacob Green practices all healthcare services and medical treatments related to Specialist. The NPI Number for Justin Jacob Green is 1104894872. The last update date is 2013-10-30.
Justin Jacob Green's current location address is 100 Brick Rd, Marlton, New Jersey. You can contact this provider via phone number 8565960111 and fax number 8565967194. The mailing address for Justin Jacob Green is 100 Brick Rd, Marlton, New Jersey. To know further, please read the information below!
Provider Profile Detail
Provider Name | Justin Jacob Green |
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Address | 100 Brick Rd, Marlton, New Jersey |
Phone Number | 8565960111 |
Fax Number | 8565967194 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1104894872 |
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Provider Enumeration Date | 2006-03-09 |
Last Updated Date | 2013-10-30 |
Provider Mailing Address Detail
Address | 100 Brick Rd |
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City | Marlton |
State | New Jersey (NJ) |
Post Code | 80532146 |
Phone Number | 8565960111 |
Fax Number | 8565967194 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 25MA07058200 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
8908702 | NJ | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Justin Jacob Green?
The Justin Jacob Green has been issued the NPI (National Provider Identifier) 1104894872 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Justin Jacob Green is located?
The Justin Jacob Green is situated at the following address: 100 Brick Rd, Marlton, NJ, 80532146.
What is the Justin Jacob Green's area of specialization and corresponding taxonomy classification?
The Justin Jacob Green's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
When did Justin Jacob Green receive its 1104894872 assignment?
The Justin Jacob Green was assigned its 1104894872 on 2006-03-09, which is the date when this unique identifier was issued to the organization.
When was the information related to Justin Jacob Green most recently updated or refreshed?
The details pertaining to the Justin Jacob Green, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-10-30.