Benecki, Theresa Renee

Benecki, Theresa Renee is an individual health care provider with primary practice located at 1608 Highway 88 Suite 208, Brick NJ 08724-3009. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Benecki, Theresa Renee can be contacted via phone (732) 458-7878.

Contact Information

Primary practice address
1608 Highway 88 Suite 208 Brick NJ 08724-3009
Fax: (732) 840-6378
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 25MA03689200 New Jersey

Profile Details

NPI number 1003895418
LBN Legal business name Benecki, Theresa Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Oct 13th, 2010 - about 16 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 1003895418 NPPES
New Jersey MEDICAID 2533006

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