Individual
BENJAMIN MARK SCHNEIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1811 SPRINGFIELD AVENUE, SUMMIT RADIOLOGICAL ASSOCIATES, NEW PROVIDENCE, NJ 07974
(917) 502-9416
Mailing address
176 WASHINGTON DR, WATCHUNG, NJ 07069-6321
(917) 502-9416
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA8429700
NJ
Other
Enumeration date
12/23/2008
Last updated
03/25/2010
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