Individual
DR. GINA MARIA BENAQUISTA DESIPIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
118 CONWAY AVE, NARBERTH, PA 19072-2202
(610) 553-5303
(610) 553-5303
Mailing address
600 HAVERFORD RD, SUITE G104, HAVERFORD, PA 19041-1139
(610) 553-5303
(610) 553-5303
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS015314
PA
2081P0004X
Spinal Cord Injury Medicine Physician
OS015314
PA
Other
Enumeration date
07/07/2008
Last updated
06/23/2015
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