JEFFREY E. GREEN NPI 1083000939

NPI Information

NPI: 1083000939
Provider Name: JEFFREY E. GREEN
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
10600 TANAGER LN
POTOMAC, MD
ZIP 20854
Phone: (301) 332-0467
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JEFFREY E. GREEN is a health service clinic center in Potomac, MD. JEFFREY E. GREEN NPI is 1083000939. The provider is registered as an organization entity type.

The provider's business location address is:

10600 TANAGER LN
POTOMAC, MD
ZIP 20854-316
Phone: (301) 332-0467

The provider's authorized official is Jeffrey Green .
The authorized official title is Provider and has the following contact phone number (301) 332-0467.

The enumeration date for this NPI number is 4/7/2015 and was last updated on 4/7/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	D0031283	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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