Provider Demographics
NPI:1811232572
Name:GREEN, STUART AARON (MD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:AARON
Last Name:GREEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2015 GALLOPING HILL RD
Mailing Address - Street 2:K15F-4395
Mailing Address - City:KENILWORTH
Mailing Address - State:NJ
Mailing Address - Zip Code:07033-1335
Mailing Address - Country:US
Mailing Address - Phone:908-740-2195
Mailing Address - Fax:908-740-4040
Practice Address - Street 1:2015 GALLOPING HILL RD
Practice Address - Street 2:K15F-4395
Practice Address - City:KENILWORTH
Practice Address - State:NJ
Practice Address - Zip Code:07033-1335
Practice Address - Country:US
Practice Address - Phone:908-740-2195
Practice Address - Fax:908-740-4040
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-06
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1102XOther Service ProvidersSpecialistResearch Study