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Mrs. Sandra Rose Green, MEDICALTRANSPORT
Emergency Medical Services (Emergency Medicine) Physician in Hackensack, New Jersey
NPI 1649820788

Sandra Rose Green is a Emergency Medical Services (Emergency Medicine) Physician based in Hackensack, NJ and is specialized in Emergency Medical Services. Sandra Rose Green practices in Hackensack, NJ and has the professional credentials of MEDICALTRANSPORT. The NPI Number for Sandra Rose Green is 1649820788 and holds a License No. G73056897951662 (New Jersey).

The current practice location address for Sandra Rose Green is 200 Spring Valley Ave, Hackensack, NJ and can be reached out via phone at 201-656-2350 and via fax at 201-656-1719.

Location: 200 Spring Valley Ave, Hackensack, NJ, 07601-2944
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649820788
Provider Name
Sandra Rose Green
Credential
MEDICALTRANSPORT
Provider Entity Type
Individual
Gender
Female
Address
200 Spring Valley Ave, Hackensack, NJ, 07601-2944
Phone Number
201-656-2350
Fax Number
201-656-1719
Provider Enumeration Date
09/19/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0450406503 05 NJ
institution
Provider Business Practice Location Address Details
Address
200 Spring Valley Ave
City
Hackensack
State
New Jersey
Zip
07601-2944
Phone Number
201-656-2350
Fax Number
201-656-1719
person
Provider Business Mailing Address Details
Address
200 Spring Valley Ave
City
Hackensack
State
New Jersey
Zip
07601-2944
Phone Number
201-656-2350
Fax Number
201-656-1719
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
G73056897951662 (New Jersey)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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