Individual
DR. BENJAMIN MEIR BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
69 NEWARK POMPTON TPKE, RIVERDALE, NJ 07457-1426
(973) 248-8111
(973) 248-8113
Mailing address
69 NEWARK POMPTON TPKE, RIVERDALE, NJ 07457-1426
(973) 248-8111
(973) 248-8113
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
40QA00621100
NJ
2251X0800X
Orthopedic Physical Therapist
Primary
40QA00621100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA00621100
LICENSE
NJ
Enumeration date
10/03/2006
Last updated
10/31/2020
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