Luis Benalcazar, MD
Internal Medicine in Elizabeth, NJ. Organization (NPI-2).
NPI number1083801799
StatusActive
Last updated in NPPESSep 26, 2007
Details
- NPI
- 1083801799
- Entity type
- Organization (NPI-2)
- Legal business name
- Luis Benalcazar, MD
- Organization subpart
- No
- Enumeration date
- Sep 26, 2007
- Last updated
- Sep 26, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA07504600 | NJ | Yes |
Practice location
310 Morris AveSuite 301
Elizabeth, NJ 07208-3695
Phone 908-353-3628 · Fax 908-353-3625
Mailing address
310 Morris AveSuite 301
Elizabeth, NJ 07208-3695
Phone 908-353-3628 · Fax 908-353-3625
Authorized official
Luis Benalcazar
Medical Director
9083533628
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