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Individual

DR. JAGBIR S BENIWAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
508 HAMBURG TPKE, SUITE 205 BENIWAL MD LLC, WAYNE, NJ 07470
(973) 956-0800
(973) 956-1885
Mailing address
508 HAMBURG TPKE, SUITE 205 BENIWAL MD LLC, WAYNE, NJ 07470
(973) 956-0800
(973) 956-1885

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MA60489
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0103538
GHI
01
1125433
NJ HEALTH
01
3063025
AETNA
01
6970508
AMERIGROUP
05
6970508
NJ
01
91000121202
AMERICHOICE
01
H910001212
AMERIHEALTH
01
J35036
HEALTHNET
01
P00009802
PALMETTO RR MEDICARE
01
P430830
OXFORD
Enumeration date
09/22/2006
Last updated
10/27/2016
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