Individual
MR. MICHAEL BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
36 NEWARK AVE STE 200, BELLEVILLE, NJ 07109-4121
(973) 759-6180
(973) 759-2006
Mailing address
36 NEWARK AVE STE 200, BELLEVILLE, NJ 07109-4121
(973) 759-6180
(973) 759-2006
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MA10533000
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NJ
Enumeration date
04/14/2014
Last updated
07/01/2021
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