Individual
SEAN BENNETT EDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, MD
Contact information
Practice address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
(732) 937-8939
Mailing address
379 CAMPUS DR FL 4, SOMERSET, NJ 08873-1161
(732) 937-8939
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00620000
NJ
363A00000X
Physician Assistant
PA00933
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/19/2017
Last updated
03/26/2025
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