Green, William J

Green, William J is an individual health care provider with primary practice located at 319 W Broad St , Burlington NJ 08016-1343. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Green, William J can be contacted via phone (609) 386-0217.

Contact Information

Primary practice address
319 W Broad St Burlington NJ 08016-1343
Phone: (609) 386-0217
Fax: (609) 386-2205
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 25MD002143 New Jersey

Profile Details

NPI number 1558358739
LBN Legal business name Green, William J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Mar 7th, 2008 - about 18 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 1558358739 NPPES
New Jersey Other 1154339 CIGNA
New Jersey MEDICAID 5486904 CIGNA
New Jersey Other P3800567 CIGNA
New Jersey Other 0040897000 CIGNA
New Jersey Other 1094025 CIGNA
New Jersey Other 0183361 CIGNA

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