Individual
DR. JANNINE BENVENUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
680 BROADWAY STE 111, PATERSON, NJ 07514-1526
(973) 977-6662
Mailing address
31 PARK HILL TER, PRINCETON JUNCTION, NJ 08550-1944
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
218748
NY
2085R0202X
Diagnostic Radiology Physician
Primary
25MA08578600
NJ
Other
Enumeration date
09/01/2006
Last updated
11/08/2020
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