Individual
MICHAEL BENSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 955-6610
Mailing address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
MT038240T
PA
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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