Individual
MRS. MARIE JO BENTIVEGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APN, C
Contact information
Practice address
200 CAMPBELL DR STE 101, WILLINGBORO, NJ 08046-1067
(609) 877-8777
(609) 877-2497
Mailing address
PO BOX 22581, NEW YORK, NY 10087-2581
(610) 482-4795
(856) 528-3117
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
26NJ00073500
NJ
363LW0102X
Women's Health Nurse Practitioner
Primary
26NJ00073500
NJ
Other
Enumeration date
12/19/2006
Last updated
07/05/2024
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