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Organization

MICHAEL BIENENFELD MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL BIENENFELD MD (OWNER)
(919) 303-1072
Entity
Organization

Contact information

Practice address
1505 SW CARY PKWY, SUITE 308, CARY, NC 27511-6219
(919) 303-1072
(919) 387-7552
Mailing address
1505 SW CARY PKWY, SUITE 308, CARY, NC 27511-6219
(919) 303-1072
(919) 387-7552

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
9600863
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0402628
UNITED HEALTHCARE
NC
01
1006H
BCBS OF NC
NC
01
16833
PARTNERS NUMBER
NC
05
891006H
NC
01
AETNA
7812348
NC
Enumeration date
02/23/2007
Last updated
08/22/2020
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