Provider Demographics
NPI:1578840443
Name:GREEN THERAPEUTICS
Entity Type:Organization
Organization Name:GREEN THERAPEUTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL BILLER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:D'ANDREA
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:908-216-3272
Mailing Address - Street 1:521 MIDDLE LN
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-1916
Mailing Address - Country:US
Mailing Address - Phone:908-216-3272
Mailing Address - Fax:732-961-6634
Practice Address - Street 1:521 MIDDLE LN
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-1916
Practice Address - Country:US
Practice Address - Phone:908-216-3272
Practice Address - Fax:732-961-6634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-07
Last Update Date:2011-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies