Individual
JAMES F BENCIVENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1640 E SUMNER ST, HARTFORD, WI 53027-2684
(262) 670-4350
(262) 670-4351
Mailing address
1640 E SUMNER ST, HARTFORD, WI 53027-2684
(262) 670-4350
(262) 670-4351
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
52662-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48837
LICENSE
MN
01
—
52662-20
LICENSE
WI
Enumeration date
07/08/2006
Last updated
12/03/2021
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