MEDICARE: ALEXANDRU E BENET 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
1	174400000X	Specialist	I17944	AL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00433132	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51524053	OTHER	AL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1033114269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRU E BENET M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1336
Second Line	:
City	:	ANDALUSIA
State	:	AL
Zip	:	36420-1223
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	215 MEDICAL PARK DR
Second Line	:	STE 2
City	:	ANDALUSIA
State	:	AL
Zip	:	36420-5311
Country	:	US
Telephone Number	:	334-427-7218
Fax Number	:	334-427-4999

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

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	02/14/2008

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Directions to “ ALEXANDRU E BENET M.D.” Practice Location

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