Individual
DR. BETH L BENJAMIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2726
(201) 447-8388
(201) 447-8616
Mailing address
10 HIRSCHKLAU LN, FAIR LAWN, NJ 07410-3600
(201) 797-4635
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
25MA05632200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7099100
—
NJ
Enumeration date
05/18/2006
Last updated
07/08/2007
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