Individual
REBECCA SMITH BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 DODD ST, BLOOMFIELD, NJ 07003-4633
(862) 220-3221
Mailing address
9 DODD ST, BLOOMFIELD, NJ 07003-4633
(862) 220-3221
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
336584
NY
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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