Benjamin Segall

NPI 1255681748 - Social Worker - 104100000X

NPI Details
NPI 1255681748
Gender Male
Enumeration Date 09/12/2012
Last Updated 09/12/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
15 W PROSPECT ST
EAST BRUNSWICK NJ, 08816-2161, US
Phone (732) 254-0600
Fax
Business Location
16 KLETSK HILL RD
LAKEWOOD NJ, 08701-2971, US
Phone
Fax
Toxanomy
Taxonomy Code 104100000X
License State New Jersey
License Number 44SL05788500
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According to our database, Benjamin Segall NPI is 1255681748, taxonomy code is 104100000X and license number is 44SL05788500, license state is located at New Jersey. Benjamin Segall physically located at 15 W Prospect St, East Brunswick NJ, 08816-2161. NPI Number Benjamin Segall has the Individual type.

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1255681748 NPI number is provided on an as is basis without warranty of any kind. 1255681748 is maintained by the National Plan & Provider Enumeration System. The contents of Benjamin Segall are for informational purposes only.