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Organization
LUIS BENALCAZAR, MD
Active
Organization
LUIS BENALCAZAR, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS BENALCAZAR M.D. (MEDICAL DIRECTOR)
(908) 353-3628
Entity
Organization
Contact information
Practice address
310 MORRIS AVE, SUITE 301, ELIZABETH, NJ 07208-3695
(908) 353-3628
(908) 353-3625
Mailing address
310 MORRIS AVE, SUITE 301, ELIZABETH, NJ 07208-3695
(908) 353-3628
(908) 353-3625
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07504600
NJ
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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