Organization
ERIC BENTOLILA, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BENTOLILA M.D. (DELEGATED OFFICIAL)
(201) 447-1700
Entity
Organization
Contact information
Practice address
150 FRANKLIN AVE, RIDGEWOOD, NJ 07450-3206
(201) 447-1700
(201) 447-9386
Mailing address
150 FRANKLIN AVE, RIDGEWOOD, NJ 07450-3206
(201) 447-1700
(201) 447-9386
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA07057600
NJ
Other
Enumeration date
10/27/2006
Last updated
08/22/2020
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