Individual
BENEDICTA G ENRILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-2438
(614) 722-4966
Mailing address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-2438
(614) 722-4966
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
35034843
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105149000
—
WV
05
—
0252524
—
OH
05
—
64789043
—
KY
Enumeration date
08/11/2005
Last updated
09/24/2008
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