Individual
DR. LUIS M BENALCAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
624 NEWARK AVE, ELIZABETH, NJ 07208-3539
(908) 353-3626
(908) 353-3625
Mailing address
624 NEWARK AVE, ELIZABETH, NJ 07208-3539
(908) 353-3626
(908) 353-3625
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2325031
NY
207R00000X
Internal Medicine Physician
Primary
25MA07504600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0028410
—
NJ
Enumeration date
11/18/2005
Last updated
02/18/2025
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