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Organization
BENNER MEDICAL GROUP PA
Active
Organization
BENNER MEDICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES MYRON BENNER MD (PARTNER)
(410) 499-6602
Entity
Organization
Contact information
Practice address
14090 HG TRUEMAN RD STE 2300-710, SOLOMONS, MD 20688-3151
(410) 449-6602
(410) 499-6605
Mailing address
14090 HG TRUEMAN RD STE 2300-710, SOLOMONS, MD 20688-3151
(410) 449-6602
(410) 499-6605
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
NULL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
468851100
—
MD
05
—
468851101
—
MD
Enumeration date
03/19/2007
Last updated
06/30/2026
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