Provider Demographics
NPI:1629611595
Name:GREEN MARKETING
Entity Type:Organization
Organization Name:GREEN MARKETING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:A
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHTAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-849-4856
Mailing Address - Street 1:31 N ANNAPOLIS AVE APT C6
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08401-3442
Mailing Address - Country:US
Mailing Address - Phone:347-849-4856
Mailing Address - Fax:
Practice Address - Street 1:31 N ANNAPOLIS AVE APT C6
Practice Address - Street 2:
Practice Address - City:ATLANTIC CITY
Practice Address - State:NJ
Practice Address - Zip Code:08401-3442
Practice Address - Country:US
Practice Address - Phone:347-849-4856
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-23
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies