Individual
BENJAMIN ARI HAGENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1060 POTTS MILL RD, BORDENTOWN, NJ 08505-4208
(848) 391-6676
Mailing address
1060 POTTS MILL RD, BORDENTOWN, NJ 08505-4208
(848) 391-6676
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
276096
NY
208600000X
Surgery Physician
MD-16466
HI
2086S0102X
Surgical Critical Care Physician
25MA07594200
NJ
2086S0102X
Surgical Critical Care Physician
276096
NY
2086S0102X
Surgical Critical Care Physician
MD-16466
HI
2086S0127X
Trauma Surgery Physician
25MA07594200
NJ
2086S0127X
Trauma Surgery Physician
Primary
276096
NY
2086S0127X
Trauma Surgery Physician
MD-16466
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0207551
—
NY
01
—
276096
MEDICAL LICENSE
NY
01
—
MA07594200
MEDICAL LICENSE
NJ
01
—
MD-16466
MEDICAL LICENSE
HI
Enumeration date
06/27/2007
Last updated
04/26/2017
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