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Individual

MARC L BENTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 MADISON AVE, SUITE 201, MADISON, NJ 07940
(973) 822-2772
(973) 822-2773
Mailing address
300 MADISON AVE, SUITE 201, MADISON, NJ 07940
(973) 822-2772
(973) 822-2773

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MA05147800
NJ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
25MA05147800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
121696
CHN INS.
NJ
01
222233003
HORIZON BLUE CROSS
NJ
01
222233003004
CIGNA
NJ
01
263944134
HORIZON BLUE CROSS BLUE SHIELD
NJ
01
4109289
AETNA INS.
NJ
01
6752022
AETNA HMO
NJ
01
67F351
EMPIRE
NJ
01
ES253
OXFORD
NJ
Enumeration date
08/10/2005
Last updated
11/20/2019
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