Individual
MINOO BENGALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1935 LAKEWOOD RD, TOMS RIVER, NJ 08755-1211
(732) 831-4558
Mailing address
1124 INDIAN HILL RD, TOMS RIVER, NJ 08753-2911
(732) 814-3374
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
TR00094000
NJ
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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