| Organization Name: | PHILIP J BENYO, M.D., P.C. |
| NPI Number: | 1669702965 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PHILIP JOHN BENYO (PRESIDENT) |
| Mailing Address: | 144 S Old Turnpike Rd Drums |
| State: | PA US |
| Postal Code: | 182221720 |
| Phone Number: | 5707886363 |
| Fax Number: | |
| NPI Enumeration Date: | 01/08/2010 |
| NPI Last Update Date: | 06/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | MA-051116 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |