Organization
UR GYN WOMENS HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BENTOLILA MD (MD)
(732) 886-5526
Entity
Organization
Contact information
Practice address
615 FRANKLIN TPKE, RIDGEWOOD, NJ 07450-1903
(201) 447-1700
(201) 447-9386
Mailing address
500 RIVER AVE, SUITE 255, LAKEWOOD, NJ 08701-4738
(732) 886-5526
(201) 447-9386
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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