Individual
SAMUEL BENNION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
7000 POLK ST # 504, GUTTENBERG, NJ 07093-1825
(970) 439-4733
Mailing address
7000 POLK ST # 504, GUTTENBERG, NJ 07093-1825
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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