Organization
BENJAMIN Z BENNOV MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN Z BENNOV MD (PRESIDENT)
(215) 671-1484
Entity
Organization
Contact information
Practice address
9630 BUSTLETON AVE, SUITE A, PHILADELPHIA, PA 19115-3102
(215) 671-1484
(215) 671-1485
Mailing address
9630 BUSTLETON AVE, SUITE A, PHILADELPHIA, PA 19115-3102
(215) 671-1484
(215) 671-1485
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017478320002
—
PA
Enumeration date
06/08/2006
Last updated
07/19/2010
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