Individual
DR. MICHAEL BENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
149 PALISADE AVE FL 1, JERSEY CITY, NJ 07306-1113
(201) 222-1170
Mailing address
PO BOX 473, JERSEY CITY, NJ 07303
(201) 222-1170
(201) 222-1159
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
24MA07219700
NJ
207RI0011X
Interventional Cardiology Physician
Primary
25MA07219700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0036242
—
NJ
Enumeration date
09/28/2006
Last updated
01/16/2024
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