Benalcazar, Luis M

Benalcazar, Luis M is an individual health care provider with primary practice located at 310 Morris Ave Suite 301, Elizabeth NJ 07208-3695. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Benalcazar, Luis M can be contacted via phone (908) 353-3626.

Contact Information

Primary practice address
310 Morris Ave Suite 301 Elizabeth NJ 07208-3695
Phone: (908) 353-3626
Fax: (908) 353-3625
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA07504600 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2325031 New York

Profile Details

NPI number 1801878269
LBN Legal business name Benalcazar, Luis M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Dec 1st, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801878269 NPPES
New Jersey MEDICAID 0028410

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