Hagendorf, Benjamin Ari
Hagendorf, Benjamin Ari is an individual health care provider with primary practice located at 1060 Potts Mill Rd , Bordentown NJ 08505-4208. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Hagendorf, Benjamin Ari can be contacted via phone (848) 391-6676.Contact Information
Primary practice address
1060 Potts Mill Rd
Bordentown NJ 08505-4208
Phone: (848) 391-6676
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | MD-16466 | Hawaii |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | MD-16466 | Hawaii |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD-16466 | Hawaii |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 25MA07594200 | New Jersey |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 25MA07594200 | New Jersey |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 276096 | New York |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 276096 | New York |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 276096 | New York |
Profile Details
| NPI number | 1083811806 |
|---|---|
| LBN Legal business name | Hagendorf, Benjamin Ari |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2007 |
| Last updated | Apr 26th, 2017 - about 8 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 | 1083811806 | NPPES |
| Hawaii | Other | MD-16466 | MEDICAL LICENSE |
| Hawaii | MEDICAID | 0207551 | MEDICAL LICENSE |
| Hawaii | Other | MA07594200 | MEDICAL LICENSE |
| Hawaii | Other | 276096 | MEDICAL LICENSE |
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