Individual
MAURICIO CAMPOS-BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 808-6026
(570) 808-7943
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD438891
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44919
MEDICAL LICENSE
TN
Enumeration date
03/31/2009
Last updated
08/06/2020
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