George, Benjamin

George, Benjamin is an individual health care provider with primary practice located at 211 Pennington Ave , Passaic NJ 07055-4617. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. George, Benjamin can be contacted via phone (973) 779-7361.

Contact Information

Primary practice address
211 Pennington Ave Passaic NJ 07055-4617
Phone: (973) 779-7361
Fax: (973) 779-7385
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA07787700 New Jersey
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 25MA07787700 New Jersey
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 232941-I New York

Profile Details

NPI number 1396702593
LBN Legal business name George, Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Jul 9th, 2007 - about 18 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 1396702593 NPPES
New Jersey MEDICAID 0064181
New Jersey MEDICAID P 00249866

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