Individual
DR. BENJAMIN Z BENNOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9630 BUSTLETON AVE, SUITE A, PHILADELPHIA, PA 19115-3102
(215) 671-1484
(215) 671-1485
Mailing address
9630 BUSTLETON AVE, SUITE A, PHILADELPHIA, PA 19115-3102
(215) 671-1484
(215) 671-1485
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD037759E
PA
Other
Enumeration date
10/20/2005
Last updated
06/29/2016
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