Individual
MARC BENAYOUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-2621
(336) 716-2255
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(773) 304-6761
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
2019-00699
NC
2085R0202X
Diagnostic Radiology Physician
Primary
2019-00699
NC
2085R0202X
Diagnostic Radiology Physician
269271
MA
Other
Enumeration date
04/03/2012
Last updated
08/20/2019
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