Individual
MARIANNA DE BENEDICTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112
(973) 926-7161
Mailing address
201 LYONS AVE, NEWARK, NJ 07112-2027
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA09392100
NJ
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
25MA09392100
NJ
Other
Enumeration date
12/17/2008
Last updated
04/11/2024
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