Individual
BENJAMIN SCOBLIONKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
850 S 5TH ST, ALLENTOWN, PA 18103-3308
(614) 670-2475
Mailing address
850 S 5TH ST, ALLENTOWN, PA 18103-3308
(614) 670-2475
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD477235
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13-3971298
EMPLOYEE IDENTIFICATION NUMBER- TISCH
—
Enumeration date
05/14/2018
Last updated
08/07/2024
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