Individual
DR. KARL T. BENEDICT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2603 S BROAD ST, PHILADELPHIA, PA 19148-4310
(215) 551-8660
(215) 551-9247
Mailing address
615 CHESTNUT ST, 14TH FLOOR, CENTRAL ENROLLMENT, PHILADELPHIA, PA 19106-4404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-061493-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001640685
—
PA
05
—
7568908
—
NJ
Enumeration date
07/17/2006
Last updated
07/23/2014
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