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Individual

MR. RICHARD H. BENGEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1 BRACE RD STE H, CHERRY HILL, NJ 08034-2600
(856) 547-0389
Mailing address
115 N EDGMONT ST, MEDIA, PA 19063-3013
(570) 977-7902

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA057831
PA
363AS0400X
Surgical Physician Assistant
Primary
25MP00467400
NJ

Other

Enumeration date
10/04/2015
Last updated
07/21/2022
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