Individual
MR. JAMES N BENCIVENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
425 AMWELL RD, HILLSBOROUGH, NJ 08844-1213
(908) 770-7352
Mailing address
798 ASHTON ST, RARITAN, NJ 08869-1302
(201) 294-4404
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0356935
—
NJ
Enumeration date
02/20/2014
Last updated
09/06/2022
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