Green, Jon David

Green, Jon David is an individual health care provider with primary practice located at 449 Mount Pleasant Ave 2Nd Floor, West Orange NJ 07052-2723. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Green, Jon David can be contacted via phone (973) 731-7868.

Contact Information

Primary practice address
449 Mount Pleasant Ave 2Nd Floor West Orange NJ 07052-2723
Phone: (973) 731-7868
Fax: (973) 731-7907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MA03035500 New Jersey

Profile Details

NPI number 1245283563
LBN Legal business name Green, Jon David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Nov 21st, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245283563 NPPES
New Jersey MEDICAID 1948709

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