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Individual

BENJAMIN LENTZNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
125 PATERSON ST, CAB- SUITE 6140, NEW BRUNSWICK, NJ 08901-1962
(732) 235-7905
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
215467
NY
2080P0202X
Pediatric Cardiology Physician
Primary
25MA07685000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0033278
NJ
05
02560396
NM
01
25MA07685000
NJ LICENSE
NJ
Enumeration date
01/11/2006
Last updated
07/23/2021
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