Organization
DR. PABLO BENCOSME, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PABLO BENCOSME M.D. (MEDICAL DOCTOR)
(732) 442-4251
Entity
Organization
Contact information
Practice address
188 MARKET ST, PERTH AMBOY, NJ 08861-4328
(732) 442-4251
(732) 442-1787
Mailing address
188 MARKET ST, PERTH AMBOY, NJ 08861-4328
(732) 442-4251
(732) 442-1787
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA03742900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3091902
—
NJ
Enumeration date
06/26/2008
Last updated
07/22/2008
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