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Dr. Justin Jacob Green, MD
Specialist in Marlton, New Jersey
NPI 1104894872

Justin Jacob Green is a Specialist based in Marlton, NJ. Justin Jacob Green practices in Marlton, NJ and has the professional credentials of MD. The NPI Number for Justin Jacob Green is 1104894872 and holds a License No. 25MA07058200 (New Jersey).

The current practice location address for Justin Jacob Green is 100 Brick Rd, Marlton, NJ and can be reached out via phone at 856-596-0111 and via fax at 856-596-7194.

Location: 100 Brick Rd, Marlton, NJ, 08053-2146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104894872
Provider Name
Justin Jacob Green
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 Brick Rd, Marlton, NJ, 08053-2146
Phone Number
856-596-0111
Fax Number
856-596-7194
Provider Enumeration Date
03/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8908702 05 NJ
institution
Provider Business Practice Location Address Details
Address
100 Brick Rd
City
Marlton
State
New Jersey
Zip
08053-2146
Phone Number
856-596-0111
Fax Number
856-596-7194
person
Provider Business Mailing Address Details
Address
100 Brick Rd
City
Marlton
State
New Jersey
Zip
08053-2146
Phone Number
856-596-0111
Fax Number
856-596-7194
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
25MA07058200 (New Jersey)
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.
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