SearchNew Jersey251S00000X

Davon Bennett

NPI 1699151977 · on the registry since 2015 · sole proprietor

Practice

Address
525 S 10th St
Newark, NJ 07103
Phone
(862) 588-1277

Registry record

Primary taxonomy
251S00000X
251S00000X
Also registered as
251B00000X
251X00000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-08-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey