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NPI Code Detail

MEDICARE: BENJAMIN LOUIS MORESCO MD

MEDICARE: BENJAMIN LOUIS MORESCO MD
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
1208000000XPediatrics PhysicianR5601TX
22080H0002XPediatric Hospice and Palliative Medicine PhysicianDR.0074997CO

General Provider Information

NPI Number : 1215322318
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN LOUIS MORESCO MD
Provider Business Mailing Address
First Line : PO BOX 110429
Second Line :
City : AURORA
State : CO
Zip : 80042-0429
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13123 E 16TH AVE
Second Line :
City : AURORA
State : CO
Zip : 80045-7106
Country : US
Telephone Number : 720-777-1234
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2015
Last Update Date : 07/01/2025

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