NPI 1013645324

Green Line Business Group LLC

Organisation General Practice Physician Newark, DE

Practice location

Address: 1 Innovation Way, Newark, DE 19711-5442
Phone: (302) 635-0581

Authorised official

Name: Frederik Humphreys
Title: Chief Technology Officer
Phone: (302) 635-0581

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Delaware →

Registry record

NPI: 1013645324
Entity type: Organization
NPI issued: 13 Aug 2022
Record last updated: 8 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.