Organization
EASTERN PENNSYLVANIA CRNA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN PAUL STEWART CRNA (NURSE ANESTHETIST)
(856) 829-1371
Entity
Organization
Contact information
Practice address
700 COTTMAN AVE, SUITE 201, PHILADELPHIA, PA 19111-3062
(215) 742-6972
(215) 742-7051
Mailing address
PO BOX 2737, CINNAMINSON, NJ 08077-5737
(856) 829-1371
(856) 829-3438
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN159329L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0298587000
INDEPENDANCE BLUE CROSS
PA
01
—
3272535
AETNA
PA
Enumeration date
08/31/2006
Last updated
09/13/2007
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