Michael a Benetatos Od LLC

NPI #1033386222 in Haskell, New Jersey

Provider Information

NPI Number: 1033386222
Entity Type: Organization
Organization Name: Michael a Benetatos Od LLC
Primary Specialty: Optometrist
Enumeration Date: May 15, 2008
Last Updated: Oct 13, 2009

Practice Location

Address: 1069 RINGWOOD AVE
City: Haskell
State: New Jersey
ZIP Code: 07420-1408
Phone: (862) 200-5454

Authorized Official

Name: DR. MICHAEL BENETATOS, O.D.
Title: OPERATING MANAGER
Phone: (862) 200-5454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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