Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD427158 | PA |
NPI | 1891726238 |
---|---|
Provider Name | Aron Michael Green |
First Address | Ocean, NJ 07712-7631 |
Second Address | Ocean, NJ 07712-7631 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 20/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
25MA07660700 | LICENSE (01) | NJ |