Individual
DR. OLGA BENITEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
73 FERRY ST, NEWARK, NJ 07105-1831
(973) 230-9223
(973) 230-9225
Mailing address
73 FERRY ST BSMT, NEWARK, NJ 07105-1831
(201) 655-1906
(973) 230-9225
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MAO4621800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8443505
—
NJ
Enumeration date
05/21/2007
Last updated
10/07/2024
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