# BENZ UROLOGY PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962588566
- **Authorized official:** DR. THOMAS BARTLEY BENZ M.D. (PRESIDENT)
- **Authorized official phone:** (302) 628-4222

## Contact information

- **Practice address:** 9096 RIVERSIDE DR, SEAFORD, DE 19973-3658
- **Practice address phone:** (302) 628-4222
- **Practice address fax:** (302) 628-4225
- **Mailing address:** 9096 RIVERSIDE DR, SEAFORD, DE 19973-3658
- **Mailing address phone:** (302) 628-4222
- **Mailing address fax:** (302) 628-4225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2088P0231X | Pediatric Urology Physician | C1-0006739 | DE | Yes |

## Other

- **Enumeration date:** 10/27/2006
- **Last updated:** 06/22/2011
