Benderson, David M

Benderson, David M is an individual health care provider with primary practice located at 1200 E. Ridgewood Avenue Suite 213 West, Ridgewood NJ 07450-3937. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Benderson, David M can be contacted via phone (201) 612-0044.

Contact Information

Primary practice address
1200 E. Ridgewood Avenue Suite 213 West Ridgewood NJ 07450-3937
Fax: (201) 612-9446
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X D0065278 Maryland

Profile Details

NPI number 1568597334
LBN Legal business name Benderson, David M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Jun 26th, 2018 - about 7 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 1568597334 NPPES
Maryland MEDICAID 413311100

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