Organization
MISHARLLC
Active
Other names
MISHARLLC
Organization subpart
No
Provider details
NPI number
Authorized official
PAYAM BENSON MD (OWNER)
(646) 261-2631
Entity
Organization
Contact information
Practice address
20 HOSPITAL DR STE 18, TOMS RIVER, NJ 08755-6434
(646) 261-2631
Mailing address
372 MAITLAND AVE, TEANECK, NJ 07666-3026
(646) 261-2631
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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