Miller, Benetta

Miller, Benetta is an sole proprietor health care provider with primary practice located at 330 Grand St Suite 100, Hoboken NJ 07030-2728. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Miller, Benetta can be contacted via phone (201) 420-7903.

Contact Information

Primary practice address
330 Grand St Suite 100 Hoboken NJ 07030-2728
Phone: (201) 420-7903
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 047836 New Jersey
Allopathic & Osteopathic Physicians / Surgery 208600000X 25MA04783600 New Jersey

Profile Details

NPI number 1316079239
LBN Legal business name Miller, Benetta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2007
Last updated Jul 21st, 2022 - about 2 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 1316079239 NPPES
New Jersey MEDICAID 100400

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