Individual
DR. LANE J BENOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 TERRACE AVE, 3RD FLOOR, HASBROUCK HEIGHTS, NJ 07604-3110
(201) 288-4252
(201) 288-7172
Mailing address
777 TERRACE AVE, 3RD FLOOR, HASBROUCK HEIGHTS, NJ 07604-3110
(201) 288-4252
(201) 288-7172
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA07780300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222970871
TAX ID#
NJ
Enumeration date
03/08/2006
Last updated
08/25/2008
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