Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 25MD00121700 | NJ |
NPI | 1043218597 |
---|---|
Provider Name | Steven R Bender |
First Address | Pleasantville, NJ 08232-1036 |
Second Address | Pleasantville, NJ 08232-1036 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2005 |
Last Update Date | 19/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T95860 | (02) | NJ |