Individual
DR. BENNETT S. SHENKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 E MAIN ST, MAPLE SHADE, NJ 08052-2679
(856) 779-9220
(856) 536-1440
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA07724800
NJ
207Q00000X
Family Medicine Physician
MD427700
PA
207V00000X
Obstetrics & Gynecology Physician
MD427700
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0091499
—
NJ
05
—
101491597
—
PA
Enumeration date
07/10/2006
Last updated
07/10/2019
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