Provider Demographics
NPI:1093947806
Name:DOSDOS, BENJAMIN C JR (PT)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:C
Last Name:DOSDOS
Suffix:JR
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:383 MARKET ST
Mailing Address - Street 2:SUITE B2
Mailing Address - City:SADDLE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07663-5300
Mailing Address - Country:US
Mailing Address - Phone:201-712-0009
Mailing Address - Fax:201-712-0040
Practice Address - Street 1:383 MARKET ST
Practice Address - Street 2:SUITE B2
Practice Address - City:SADDLE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07663-5300
Practice Address - Country:US
Practice Address - Phone:201-712-0009
Practice Address - Fax:201-712-0040
Is Sole Proprietor?:No
Enumeration Date:2009-08-12
Last Update Date:2009-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJPT40QA01313900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist