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Dr. Benjamin Green, DPM
Foot & Ankle Surgery Podiatrist in Ephrata, Pennsylvania
NPI 1154852085

Benjamin Green is a Foot & Ankle Surgery Podiatrist based in Wytheville, PA and is specialized in Foot & Ankle Surgery. Benjamin Green practices in Ephrata, PA and has the professional credentials of DPM. The NPI Number for Benjamin Green is 1154852085 and holds a License No. (Pennsylvania).

The current practice location address for Benjamin Green is 804 Grandview Dr Ste 1, Ephrata, PA and can be reached out via phone at 717-733-2251.

Location: 804 Grandview Dr Ste 1, Ephrata, PA, 24382-2240
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154852085
Provider Name
Benjamin Green
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
804 Grandview Dr Ste 1, Ephrata, PA, 24382-2240
Phone Number
717-733-2251
Fax Number
Provider Enumeration Date
03/22/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
804 Grandview Dr Ste 1
City
Ephrata
State
Pennsylvania
Zip
17522-1681
Phone Number
717-733-2251
Fax Number
person
Provider Business Mailing Address Details
Address
804 Grandview Dr Ste 1
City
Ephrata
State
Pennsylvania
Zip
17522-1681
Phone Number
717-733-2251
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
0103301302 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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