Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | DI02353700 | NJ |
NPI | 1083813463 |
---|---|
Provider Name | Dr. Benaifer Don Preziosi |
First Address | Linwood, NJ 08221-2025 |
Second Address | Linwood, NJ 08221-2025 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2007 |
Last Update Date | 12/05/2017 |