=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023289709
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GEORGES J BENSIMHON
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/20/2008
-----------------------------------------------------
Last Update Date | 08/12/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3729 EASTON NAZARETH HWY SUITE 3
-----------------------------------------------------
City | EASTON
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18045-8344
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-559-7110
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 464
-----------------------------------------------------
City | RUTHERFORD
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07070-0464
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-804-2800
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | GEORGES BENSIMHOM
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 610-559-7110
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207L00000X
-----------------------------------------------------
Taxonomy Name | Anesthesiology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------