| Doctor Name: | MS. MARIGOLD BRILLANTES-BENGUAN |
| NPI Number: | 1003112202 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 580304 |
| Business Practice Address: | 74 Mcadoo Ave Jersey City, NJ - 073052018 |
| Business Phone Number: | 6463315611 |
| Business Fax Number: | |
| Mailing Address: | 74 Mcadoo Ave, JERSEY CITY |
| State: | NJ |
| Postal Code: | 073052018 |
| Phone Number: | 6463315611 |
| Fax Number: | |
| NPI Enumeration Date: | 02/04/2011 |
| NPI Last Update Date: | 02/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0200X |
| License Number: | 580304 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |