Dr. Krystal A Green, MD
Family Medicine in Millville, New Jersey
1114421575- Practice location
- 2148 N 2ND St Ste A, Millville, NJ 08332-1304
- Phone
- 856-641-6272
- Fax
- 856-327-6588
- Last updated
- September 30, 2024
Krystal Alexandria Green is a Family Medicine based in Millville, NJ. Krystal Alexandria Green practices in Millville, NJ and has the professional credentials of MD. The NPI Number for Krystal Alexandria Green is 1114421575 and holds a License No. 25MA10935000 (NJ). The current practice location address for Krystal Alexandria Green is 2148 N 2ND St Ste A, Millville, NJ 08332-1304 and can be reached out via phone at 856-641-6272 and via fax at 856-327-6588.
Provider Profile Details
- NPI Number
- 1114421575
- Provider Name
- Krystal Alexandria Green
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2148 N 2ND St Ste A, Millville, NJ 08332-1304
- Phone Number
- 856-641-6272
- Fax Number
- 856-327-6588
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 21, 2018
- Last Update Date
- September 30, 2024
- Certification Date
- September 30, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2148 N 2ND St Ste A
Millville, NJ 08332-1304 - City
- Millville
- State
- New Jersey
- Zip
- 08332-1304
- Phone Number
- 856-641-6272
- Fax Number
- 856-327-6588
Provider Business Mailing Address Details
- Address
- 134 Bridgeton Pike Ste C
Mullica Hill, NJ 08062-2616 - City
- Mullica Hill
- State
- NJ
- Zip
- 08062-2616
- Phone Number
- 856-507-2783
- Fax Number
- 856-221-4138
License Information
- License Number
- 25MA10935000
- License State
- NJ
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Krystal A Green, MD?
The NPI number of Dr. Krystal A Green, MD is 1114421575. It was assigned on March 21, 2018 and is currently active in the NPPES registry.
What is the specialty of Dr. Krystal A Green, MD?
Dr. Krystal A Green, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA10935000.
Where does Dr. Krystal A Green, MD practice?
The practice location is 2148 N 2ND St Ste A, Millville, NJ 08332-1304. The office can be reached at 856-641-6272 (phone) or 856-327-6588 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114421575 directly on the NPPES registry website.