Individual
DR. NICHOLAS BENINCASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2440 RTE 34 NORTH, WALL, NJ 08736
(732) 612-9948
Mailing address
23 LILLY DR, TUCKERTON, NJ 08087-4009
(084) 334-8149
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00792100
NJ
Other
Enumeration date
07/15/2022
Last updated
04/26/2023
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