Organization
BRIAN BENSON MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA SICULIETANO (OFFICE MGR)
(201) 489-6520
Entity
Organization
Contact information
Practice address
20 PROSPECT AVE, SUITE 907, HACKENSACK, NJ 07601-1997
(201) 996-2750
(201) 489-6530
Mailing address
20 PROSPECT AVE, SUITE 907, HACKENSACK, NJ 07601-1997
(201) 996-2750
(201) 489-6530
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
25MA08215300
NJ
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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