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NPI Code Detail

MEDICARE: ARON MICHAEL GREEN MD

MEDICARE:   ARON MICHAEL GREEN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XX0004XOrthopaedic Foot and Ankle Surgery PhysicianMD427158PA
2207XX0004XOrthopaedic Foot and Ankle Surgery Physician25MA07660700NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
125MA07660700OTHERNJLICENSE

General Provider Information

NPI Number : 1891726238
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARON MICHAEL GREEN MD
Provider Business Mailing Address
First Line : 1200 EAGLE AVE
Second Line :
City : OCEAN
State : NJ
Zip : 07712-7631
Country : US
Telephone Number : 732-660-6200
Fax Number : 732-660-6201
Provider Business Practice Location Address
First Line : 1200 EAGLE AVE
Second Line :
City : OCEAN
State : NJ
Zip : 07712-7631
Country : US
Telephone Number : 732-660-6200
Fax Number : 732-660-6201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 05/21/2024

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