# LUIS BENALCAZAR, MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083801799
- **Authorized official:** LUIS BENALCAZAR M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (908) 353-3628

## Contact information

- **Practice address:** 310 MORRIS AVE, SUITE 301, ELIZABETH, NJ 07208-3695
- **Practice address phone:** (908) 353-3628
- **Practice address fax:** (908) 353-3625
- **Mailing address:** 310 MORRIS AVE, SUITE 301, ELIZABETH, NJ 07208-3695
- **Mailing address phone:** (908) 353-3628
- **Mailing address fax:** (908) 353-3625

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA07504600 | NJ | Yes |

## Other

- **Enumeration date:** 09/26/2007
- **Last updated:** 09/26/2007