Individual provider · Type 1 NPI

Justin Jacob Green, MD

Dermatology Physician · Marlton, NJ

NPI number 1104894872 Active

Practice location

10000 Sagemore Dr Ste 10101
Marlton, NJ 08053-3944

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000X25MA07058200 (NJ)
Dermatology Physician Primary 207N00000X25MA07058200 (NJ)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1104894872

Justin Jacob Green, MD's National Provider Identifier is 1104894872, issued on Mar 9, 2006. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Marlton, NJ. The record was last updated on Jun 17, 2025.