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Individual

DR. BENJAMIN STEVEN CHACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3 CORNERSTONE DRIVE, SUITE 703, LANGHORNE, PA 19047
(267) 689-1000
(267) 689-1008
Mailing address
3 CORNERSTONE DR, SUITE 703, LANGHORNE, PA 19047-1320
(267) 689-1000
(267) 689-1008

Taxonomy

Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
OS005703L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0062114000
AMERIHEALTH
PA
01
109023
ONE HEALTH PLAN
PA
01
1158976002
CIGNA
PR
01
232558450
INTERGROUP
PA
01
398969
MAMSI
PR
01
3Y4296
HEALTHNET
PA
01
487379
BLUE SHIELD PA
PA
01
57504
USHC
PA
01
BUS004
OXFORD HEALTH
PA
01
D87379
INTERCOUNTY
PA
Enumeration date
09/14/2005
Last updated
06/04/2021
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