Eric Bentolila, M.D. Pa

LBN: Eric Bentolila, M.D. Pa
Eric Bentolila, M.D. Pa is an health care organization with primary practice located at 615 Franklin Turnpike , Ridgewood NJ 07450-0745. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Eric Bentolila, M.D. Pa can be contacted via phone (201) 447-1700, or through Vega, Clarissa via phone (973) 874-8459.

Contact Information

Primary practice address
615 Franklin Turnpike Ridgewood NJ 07450-0745
Phone: (201) 447-1700
Fax: (201) 447-9386
Website:
Map and Directions
Authorized official contact:
Name: Vega, Clarissa
Phone: (973) 874-8459

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MA07057600 New Jersey

Profile Details

NPI number 1245357276
LBN Legal business name Eric Bentolila, M.D. Pa
DBA Doing business as
Authorized official Vega, Clarissa
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2007
Last updated Nov 4th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245357276 NPPES
New Jersey Other 2371713000 AMERIHEALTH GROUP#

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