Individual provider · Type 1 NPI
Benjamin Green, DPM
Foot & Ankle Surgery Podiatrist · Coatesville, PA
NPI number
1154852085
Active
Practice location
495 Highland Blvd Ste 103
Coatesville, PA 19320-5822
Fax (610) 365-4991
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | SC007230 (PA) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0103301302 (VA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1154852085
Benjamin Green, DPM's National Provider Identifier is 1154852085, issued on Mar 22, 2017. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Coatesville, PA. The record was last updated on Oct 14, 2025.