Organization
MERVAT BENJAMIN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MERVAT MANSOUR MD (OWNER)
(718) 377-2834
Entity
Organization
Contact information
Practice address
3131 KINGS HWY, BROOKLYN, NY 11234-2644
(718) 377-2834
Mailing address
26 GATES AVE, EAST BRUNSWICK, NJ 08816-1220
(718) 377-2834
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
220228
NY
Other
Enumeration date
11/17/2006
Last updated
08/22/2020
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