Individual
DR. JEFFREY D BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6511 DEER POINTE DRIVE, SALISBURY, MD 21804
(410) 546-8037
(410) 546-8038
Mailing address
6511 DEER POINTE DRIVE, SALISBURY, MD 21804
(410) 546-8037
(410) 546-8038
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
C1-0004538
DE
207W00000X
Ophthalmology Physician
Primary
D-0035052
MD
207W00000X
Ophthalmology Physician
D0035052
MD
207WX0107X
Retina Specialist (Ophthalmology) Physician
C1-0004538
DE
207WX0107X
Retina Specialist (Ophthalmology) Physician
D0035052
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000468001
—
DE
05
—
212101800
—
MD
Enumeration date
07/08/2005
Last updated
09/29/2020
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