Individual
DR. CAROL A BENEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1111 EAST END BLVD, VETERANS AFFAIRS MEDICAL CENTER, WILKES-BARRE, PA 18711
(570) 824-3521
Mailing address
PO BOX 313, MOUNTAIN TOP, PA 18707-0313
(570) 868-1069
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002910L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SC002910L
DPM LICENSE
PA
Enumeration date
07/25/2006
Last updated
07/08/2007
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