| Doctor Name: | THERESA RENEE BENECKI |
| NPI Number: | 1003895418 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 25MA03689200 |
| Business Practice Address: | 1608 Highway 88 Suite 208 Brick, NJ - 087243009 |
| Business Phone Number: | 7324587878 |
| Business Fax Number: | 7328406378 |
| Mailing Address: | 1608 Highway 88, Suite 208 BRICK |
| State: | NJ |
| Postal Code: | 087243009 |
| Phone Number: | 7324587878 |
| Fax Number: | 7328406378 |
| NPI Enumeration Date: | 01/13/2006 |
| NPI Last Update Date: | 10/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 25MA03689200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |