Individual
DR. BEN Z STANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BOULEVARD, PHILADELPHIA, PA 19104-4306
(215) 349-8222
(215) 662-6530
Mailing address
3400 CIVIC CENTER BOULEVARD, PHILADELPHIA, PA 19104-4306
(215) 349-8222
(215) 662-6530
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207642
MA
207RG0100X
Gastroenterology Physician
207642
MA
207RG0100X
Gastroenterology Physician
Primary
MD429940
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2003783
—
MA
01
—
207642
TUFTS HEALTH PLAN
MA
01
—
J25863
BCBS MA
MA
Enumeration date
10/28/2005
Last updated
10/03/2012
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