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Individual

DR. BENJAMIN DAVID SPIRN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1656 OAK TREE RD, SUITE 3, EDISON, NJ 08820-2805
(732) 549-8080
(732) 549-0528
Mailing address
430 W 24TH ST, APT 3F, NEW YORK, NY 10011-1334
(212) 645-4185

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
25MA07876000
NJ
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
25MA07876000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0073393
NJ
Enumeration date
09/06/2005
Last updated
04/17/2017
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