Green Podiatry LLC

NPI #1053755082 in Lumberton, New Jersey

Provider Information

NPI Number: 1053755082
Entity Type: Organization
Organization Name: Green Podiatry LLC
Primary Specialty: Podiatrist
Enumeration Date: Apr 21, 2013
Last Updated: Apr 21, 2013

Practice Location

Address: 111 MAPLE GROVE BLVD
City: Lumberton
State: New Jersey
ZIP Code: 08048-4617
Phone: (609) 217-8905

Authorized Official

Name: DR. WILLIAM J GREEN, DPM
Title: OWNER
Phone: (609) 217-8905

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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