Individual
STEPHEN BENAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 S CEDAR CREST BLVD, ALLENTOWN, ALLENTOWN, PA 18103-6202
(800) 516-5315
(610) 402-8240
Mailing address
PO BOX 8500, LOCKBOX# 3367, PHILADELPHIA, PA 19178-3367
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN620426
PA
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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