Individual
ERIC J. BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2100 ERWIN RD, DURHAM, NC 27705-3941
(919) 684-8111
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 620-4700
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2011-01862
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2007
Last updated
01/23/2012
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