Individual
DR. MANUEL B BANZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
714 10TH ST, SECAUCUS, NJ 07094-2921
(201) 864-4442
(201) 864-5038
Mailing address
714 10TH ST, SECAUCUS, NJ 07094-2921
(201) 864-4442
(201) 864-5038
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MA27187
NJ
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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