Individual
DR. OMAR DIAN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 BERGEN STREET, NEWARK, NEWARK, NJ 07103
(973) 972-4300
Mailing address
353 S CENTER ST APT 16B, ORANGE, NJ 07050-3367
(347) 338-7113
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00000000
NJ
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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