Green, Douglas Stewart
Green, Douglas Stewart is an individual health care provider with primary practice located at 1199 Pleasant Valley Way Kessler Institute For Rehabilitation, West Orange NJ 07052. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Green, Douglas Stewart can be contacted via phone (973) 325-6210.Contact Information
Primary practice address
1199 Pleasant Valley Way Kessler Institute For Rehabilitation
West Orange NJ 07052
Phone: (973) 325-6210
Fax: (973) 243-6861
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MA45011 | New Jersey |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MA45011 | New Jersey |
Profile Details
| NPI number | 1790753523 |
|---|---|
| LBN Legal business name | Green, Douglas Stewart |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Dec 21st, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790753523 | NPPES |
| Other | F02745 | HEALTHNET | |
| Other | 44611 | HEALTHNET | |
| MEDICAID | 1948504 | HEALTHNET | |
| Other | 1551579 | HEALTHNET | |
| Other | 290008079 | HEALTHNET |
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