MEDICARE: BIENVENIDO SANCHEZ MD

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
1	207R00000X	Internal Medicine Physician	MA54305	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538277033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BIENVENIDO SANCHEZ MD

Provider Business Mailing Address
First Line	:	309 RIVEREDGE RD
Second Line	:
City	:	TENAFLY
State	:	NJ
Zip	:	07670-1941
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5005 BERGENLINE AVE
Second Line	:
City	:	WEST NEW YORK
State	:	NJ
Zip	:	07093-5563
Country	:	US
Telephone Number	:	201-864-2200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2006
Last Update Date	:	07/08/2007

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Directions to “ BIENVENIDO SANCHEZ MD” Practice Location

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