Individual
MR. JEFFREY MARK BEN-EZRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24 VILLAGE COURT, HAZLET, NJ 07730
(732) 888-0595
(732) 888-8351
Mailing address
24 VILLAGE COURT, HAZLET, NJ 07730
(732) 888-0595
(732) 888-8351
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00463200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6455603
—
NJ
Enumeration date
09/05/2006
Last updated
07/08/2007
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