Healthcare Provider Details

I. General information

NPI: 1396746392
Provider Name (Legal Business Name): DARBY ANESTHESIA ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 LANSDOWNE AVE
DARBY PA
19023-1200
US

IV. Provider business mailing address

P O BOX 828693
PHILADELPHIA PA
19182-0001
US

V. Phone/Fax

Practice location:
  • Phone: 610-237-4561
  • Fax:
Mailing address:
  • Phone: 610-237-4561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number StatePA

VIII. Authorized Official

Name: DR. DANIEL A BENESKI
Title or Position: DELEGATED OFFICIAL
Credential: PHD MD
Phone: 610-237-4561