Organization
BENIWAL MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAGBIR S BENIWAL M.D. (OWNER)
(973) 956-0800
Entity
Organization
Contact information
Practice address
508 HAMBURG TPKE, SUITE 205, WAYNE, NJ 07470-8482
(973) 956-0800
(973) 956-1885
Mailing address
508 HAMBURG TPKE, SUITE 205, WAYNE, NJ 07470-8482
(973) 956-0800
(973) 956-1885
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
MA60489
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6970508
—
NJ
Enumeration date
05/07/2008
Last updated
05/07/2008
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