Green, Jesse Andrew

Green, Jesse Andrew is an individual health care provider with primary practice located at 51 North 39Th Street , Philadelphia PA 19104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Green, Jesse Andrew can be contacted via phone (215) 662-8900.

Contact Information

Primary practice address
51 North 39Th Street Philadelphia PA 19104
Phone: (215) 662-8900
Fax: (518) 262-6470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD450077 Pennsylvania

Profile Details

NPI number 1952393027
LBN Legal business name Green, Jesse Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated May 7th, 2014 - about 12 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 1952393027 NPPES
New York MEDICAID 01460562

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