Benevento, Barbara

Benevento, Barbara is an individual health care provider with primary practice located at 1199 Pleasant Valley Way , West Orange NJ 07052-1424. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Benevento, Barbara can be contacted via phone (973) 731-3600.

Contact Information

Primary practice address
1199 Pleasant Valley Way West Orange NJ 07052-1424
Phone: (973) 731-3600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 25MA06298900 New Jersey
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine 2081P0004X 25MA06298900 New Jersey

Profile Details

NPI number 1083603815
LBN Legal business name Benevento, Barbara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Mar 10th, 2011 - about 15 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 1083603815 NPPES
New Jersey MEDICAID 0050903

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