Individual
DR. CARLOS W BENITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1944 STATE ROUTE 33, MEDICAL ARTS BUILDING SUITE 203, NEPTUNE, NJ 07753-4862
(732) 776-4755
(732) 776-4754
Mailing address
1944 STATE ROUTE 33, MEDICAL ARTS BUILDING SUITE 203, NEPTUNE, NJ 07753-4862
(732) 776-4755
(732) 776-4754
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MA57433
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6356800
—
NJ
Enumeration date
04/25/2006
Last updated
05/01/2009
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