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1013085521
MICHAEL A. BENETATOS
HASKELL, NJ
NPI
1013085521
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: NJ 27OA00509800)
Enumeration Date
2006-12-01
Last Update Date
2013-12-16
Business Address
Dr. MICHAEL A. BENETATOS O.D.
1069 RINGWOOD AVE STE 106
HASKELL, NJ 07420-1451
Phone number: 862-200-5454
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Mailing Address
Dr. MICHAEL A. BENETATOS O.D.
1069 RINGWOOD AVE STE 106
HASKELL, NJ 07420-1451
Phone number: 862-200-5454
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MICHAEL A BENETATOS OD LLC