Mark, Benjamin
Mark, Benjamin is an sole proprietor health care provider with primary practice located at 279 3Rd Ave Suite 301, Long Branch NJ 07740-6205. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mark, Benjamin can be contacted via phone (732) 229-3737.Contact Information
Primary practice address
279 3Rd Ave Suite 301
Long Branch NJ 07740-6205
Phone: (732) 229-3737
Fax: (732) 229-5757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MA42033 | New Jersey |
Profile Details
| NPI number | 1093704199 |
|---|---|
| LBN Legal business name | Mark, Benjamin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093704199 | NPPES |
| New Jersey | MEDICAID | 1134906 |
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