MEDICARE: HOWARD S BENENSOHN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	MD4758	DC
2	2084P0800X	Psychiatry Physician	D0008584	MD
3	2084P0800X	Psychiatry Physician	G14195	CA

General Provider Information

NPI Number	:	1437150521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOWARD S BENENSOHN MD

Provider Business Mailing Address
First Line	:	7204 MAPLE AVE
Second Line	:
City	:	CHEVY CHASE
State	:	MD
Zip	:	20815-5110
Country	:	US
Telephone Number	:	301-652-8362
Fax Number	:	301-652-4568

Provider Business Practice Location Address
First Line	:	4545 CONNECTICUT AVE NW
Second Line	:	STE 306
City	:	WASHINGTON
State	:	DC
Zip	:	20008-6042
Country	:	US
Telephone Number	:	202-244-5511
Fax Number	:	301-652-4568

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	07/08/2007

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Directions to “ HOWARD S BENENSOHN MD” Practice Location

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