Individual
PHILIP J. BENYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
642 STATE ROUTE 93 HWY, SUGARLOAF, PA 18249-3127
(570) 788-6363
(570) 788-7313
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD022634E
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD022634E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000985956-0009
—
PA
01
—
002840
FIRST PRIORITY
PA
01
—
192731
BLACK LUNG & EEOICP
PA
01
—
23259
GEISINGER
PA
01
—
400852
BC/BS
PA
01
—
47875
HEALTHAMERICA/ASSURANCE
PA
01
—
507382
AETNA-BLUE BELL
PA
01
—
6003253
GHI
PA
01
—
800325
AETNA- EL PASO
PA
01
—
9204269
PHCS
PA
01
—
D00852
AMERIHEALTH
PA
Enumeration date
07/12/2005
Last updated
01/13/2025
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