Doctor Name: | STEVEN R BENDER |
NPI Number: | 1043218597 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PC |
License Number: | 25MD00121700 |
Business Practice Address: | 1425 N Main St Pleasantville, NJ - 082321036 |
Business Phone Number: | 6096464220 |
Business Fax Number: | 6096460628 |
Mailing Address: | 1425 N Main St, PLEASANTVILLE |
State: | NJ |
Postal Code: | 082321036 |
Phone Number: | 6096464220 |
Fax Number: | 6096460628 |
NPI Enumeration Date: | 07/08/2005 |
NPI Last Update Date: | 08/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 25MD00121700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |