Provider Demographics
NPI:1154909760
Name:BENEDICT, GARY JOHN (MA, CSCS)
Entity type:Individual
Prefix:MR
First Name:GARY
Middle Name:JOHN
Last Name:BENEDICT
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Gender:M
Credentials:MA, CSCS
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Mailing Address - Street 1:331 ROUTE 206
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-4781
Mailing Address - Country:US
Mailing Address - Phone:908-685-2453
Mailing Address - Fax:908-595-2605
Practice Address - Street 1:331 ROUTE 206
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-4781
Practice Address - Country:US
Practice Address - Phone:908-685-2453
Practice Address - Fax:908-595-2605
Is Sole Proprietor?:No
Enumeration Date:2021-04-02
Last Update Date:2021-04-02
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist