Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JASON D GREEN, MD
ActiveColon & Rectal Surgery · SPARTA, NJ
Registration Details
- NPI Number
- 1851376271
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 8, 2005 (20.3668183861 yrs)
- Last Updated
- Aug 24, 2012
- Licenses
-
176080 (NY)25MA08183300 (NJ)
Practice Information
- Address
-
532 LAFAYETTE RDSUITE 100SPARTA, NJ, 078714411Browse NJ providers · Browse ZIP 07871
- Phone
- 9733833730
- Fax
- 9733832285
- Primary Specialty
-
Colon & Rectal Surgery
208C00000X
- Additional Specialty
- Colon & Rectal Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.