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NPI Code Detail

MEDICARE: MR. DOUGLAS BENSON PT

MEDICARE:  MR. DOUGLAS  BENSON  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistQA 09158NJ

General Provider Information

NPI Number : 1821013350
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DOUGLAS BENSON PT
Provider Business Mailing Address
First Line : 788 MORRIS TPKE STE 301
Second Line :
City : SHORT HILLS
State : NJ
Zip : 07078-2634
Country : US
Telephone Number : 973-467-4444
Fax Number : 973-467-4446
Provider Business Practice Location Address
First Line : 788 MORRIS TPKE STE 301
Second Line :
City : SHORT HILLS
State : NJ
Zip : 07078-2634
Country : US
Telephone Number : 973-467-4444
Fax Number : 973-467-4446
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 07/22/2022

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Directions to “ MR. DOUGLAS BENSON PT” Practice Location

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