Organization
BENZ UROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS BARTLEY BENZ M.D. (PRESIDENT)
(302) 628-4222
Entity
Organization
Contact information
Practice address
9096 RIVERSIDE DR, SEAFORD, DE 19973-3658
(302) 628-4222
(302) 628-4225
Mailing address
9096 RIVERSIDE DR, SEAFORD, DE 19973-3658
(302) 628-4222
(302) 628-4225
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
C1-0006739
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000016049
—
DE
Enumeration date
10/27/2006
Last updated
06/22/2011
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