OrganizationActive
Green Line Business Group LLC
NPI 1013645324 · General Practice Physician · Newark, DE
Provider details
- NPI number
- 1013645324
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Frederik Humphreys, Chief Technology Officer(302) 635-0581
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1 Innovation Way
Newark, DE 19711-5442
Phone: (302) 635-0581
Approximate (ZIP-level) locationGet directions
Mailing address
1 Innovation Way
Newark, DE 19711-5442
Registry dates
- Enumerated
- 2022-08-13
- Last updated
- 2023-08-08
- Certified
- 2023-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.