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Benjamin John Puccio
Student in an Organized Health Care Education/Training Program in Newark, New Jersey
NPI 1760002810

Benjamin John Puccio is a Student in an Organized Health Care Education/Training Program based in Old Tappan, NJ. Benjamin John Puccio practices in Newark, NJ. The NPI Number for Benjamin John Puccio is 1760002810 and holds a License No. (New Jersey).

The current practice location address for Benjamin John Puccio is 90 Bergen St Ste 5200, Newark, NJ and can be reached out via phone at 973-972-5209.

Location: 90 Bergen St Ste 5200, Newark, NJ, 07675-7106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760002810
Provider Name
Benjamin John Puccio
Credential
Provider Entity Type
Individual
Gender
Male
Address
90 Bergen St Ste 5200, Newark, NJ, 07675-7106
Phone Number
973-972-5209
Fax Number
Provider Enumeration Date
04/19/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
90 Bergen St Ste 5200
City
Newark
State
New Jersey
Zip
07103-2425
Phone Number
973-972-5209
Fax Number
person
Provider Business Mailing Address Details
Address
90 Bergen St Ste 5200
City
Newark
State
New Jersey
Zip
07103-2425
Phone Number
973-972-5209
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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