IndividualActive
Benjamin Green, DPM
NPI 1154852085 · Foot & Ankle Surgery Podiatrist · Coatesville, PA
Provider details
- NPI number
- 1154852085
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- SC007230 (PA)
Practice location
495 Highland Blvd Ste 103
Coatesville, PA 19320-5822
Phone: (610) 343-3668
Fax: (610) 365-4991
Mailing address
495 Highland Blvd Ste 103
Coatesville, PA 19320-5822
Registry dates
- Enumerated
- 2017-03-22
- Last updated
- 2025-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.