Doctor Name: | MAIA CYNTHIA GREENE |
NPI Number: | 1154533511 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 26NJ00329000 |
Business Practice Address: | 1 Washington Blvd Ste A Robbinsville, NJ - 086913162 |
Business Phone Number: | 6092499000 |
Business Fax Number: | |
Mailing Address: | 8 Albourne St, SOUTH RIVER |
State: | NJ |
Postal Code: | 088821801 |
Phone Number: | 7323873880 |
Fax Number: | |
NPI Enumeration Date: | 05/05/2007 |
NPI Last Update Date: | 04/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SF0001X |
License Number: | 26NJ00329000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Family Health |
Taxonomy Definition: |