Organization
PHILIP J BENYO, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP JOHN BENYO M.D. (PRESIDENT)
(570) 788-6363
Entity
Organization
Contact information
Practice address
144 S OLD TURNPIKE RD, DRUMS, PA 18222-1720
(570) 788-6363
Mailing address
PO BOX 395, DRUMS, PA 18222-0395
(570) 788-6363
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD-022634-E
PA
363AM0700X
Medical Physician Assistant
MA-051116
PA
Other
Enumeration date
01/08/2010
Last updated
06/21/2010
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