Individual
DR. PABLO BENCOSME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
188 MARKET ST, PERTH AMBOY, NJ 08861-4328
(732) 442-4251
(732) 442-1787
Mailing address
287 RECTOR ST, PERTH AMBOY, NJ 08861-4434
(732) 442-5710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA37429
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3091902
—
NJ
Enumeration date
08/29/2006
Last updated
07/08/2007
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