Individual
SARI BENTSIANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
90 BERGEN ST STE 4600, NEWARK, NJ 07103-2425
(800) 249-7750
Mailing address
185 S ORANGE AVE STE F-540, NEWARK, NJ 07103-2757
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25MA10116200
NJ
Other
Enumeration date
07/07/2011
Last updated
07/24/2017
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