Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | C10008838 | DE |
N | 208000000X | Pediatrician | 25MA07648400 | NJ |
N | 2080P0204X | Pediatric Emergency Doctor | 25MA07648400 | NJ |
Y | 2080P0204X | Pediatric Emergency Doctor | C10008838 | DE |
NPI | 1750371720 |
---|---|
Provider Name | Dr. Brenda J Bender |
First Address | Voorhees, NJ 08043-3518 |
Second Address | Voorhees, NJ 08043-1548 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2005 |
Last Update Date | 27/09/2011 |