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NPI Code Detail

MEDICARE: DR. BENJAMIN MARK HENTEL M.D.

MEDICARE: DR. BENJAMIN MARK HENTEL M.D.
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
12085R0202XDiagnostic Radiology Physician236126NY
22085R0202XDiagnostic Radiology Physician47721CT
32085B0100XBody Imaging Physician236126NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619154101
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BENJAMIN MARK HENTEL M.D.
Provider Business Mailing Address
First Line : 1 HOSPITAL PLZ
Second Line :
City : STAMFORD
State : CT
Zip : 06902-3602
Country : US
Telephone Number : 203-276-7860
Fax Number : 203-276-7200
Provider Business Practice Location Address
First Line : 1 HOSPITAL PLZ
Second Line :
City : STAMFORD
State : CT
Zip : 06902-3602
Country : US
Telephone Number : 203-276-7860
Fax Number : 203-276-7200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2008
Last Update Date : 03/25/2026

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