Doctor Name: | DR. LIONEL O BENSON |
NPI Number: | 1982834891 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 030766 |
Business Practice Address: | 2064 Silverwood Dr Newtown, PA - 189409401 |
Business Phone Number: | 2673931204 |
Business Fax Number: | |
Mailing Address: | 2064 Silverwood Dr, NEWTOWN |
State: | PA |
Postal Code: | 189409401 |
Phone Number: | 2673931204 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2009 |
NPI Last Update Date: | 07/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 030766 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |