Healthcare Provider Details

I. General information

NPI: 1962405985
Provider Name (Legal Business Name): THOMAS A BENSINGER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7525 GREENWAY CENTER DR STE 205
GREENBELT MD
20770-3525
US

IV. Provider business mailing address

7525 GREENWAY CENTER DR STE 205
GREENBELT MD
20770-3525
US

V. Phone/Fax

Practice location:
  • Phone: 301-982-9800
  • Fax: 301-982-2420
Mailing address:
  • Phone: 301-982-9800
  • Fax: 301-982-2420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberD0008754
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: