Individual
JENNY TERESA BENCARDINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-3000
(215) 662-7011
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-3000
(215) 662-7011
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD429855
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017665180002
—
PA
05
—
2737006
—
OH
05
—
O2334572
—
NY
Enumeration date
09/28/2006
Last updated
07/17/2019
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