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Provider Information for 1871882258

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. ADAM GODFREY GREEN M.D., M.B.A.

Gender: MALE

Individual NPI: 1871882258

Calendar   Last Updated:  2018-03-17
  Certification Date: 

Details

Name Value
NPI 1871882258
Enumeration Date 2011-04-06
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 1 FEDERAL ST
CAMDEN, NJ 08103-1088
United States

Phone: 856-356-4924 | Fax:
View Map External Link
Primary Practice Address 1 COOPER PLZ
CAMDEN, NJ 08103-1461
United States

Phone: 856-342-2000 | Fax:
View Map External Link
Secondary Practice Address 300 COMMUNITY DR
MANHASSET, NY 11030-3816
United States

Phone: 516-562-0100 | Fax:
View Map External Link

Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207RC0200X - Internal Medicine Critical Care Medicine NJ 25MA10092200