Individual
MRS. MELISSA CLAIRE BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1777 HAMBURG TPKE, WAYNE, NJ 07470-5211
(973) 831-1800
Mailing address
312 DIXON AVE, BOONTON, NJ 07005-2026
(973) 452-7628
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
26NJ00431800
NJ
Other
Enumeration date
05/23/2013
Last updated
06/24/2013
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