MEDICARE: WILLIAM E. BENSON 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
1	207W00000X	Ophthalmology Physician	MD016487E	PA
2	207W00000X	Ophthalmology Physician	25MA04028100	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568420818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM E. BENSON MD

Provider Business Mailing Address
First Line	:	910 E WILLOW GROVE AVE
Second Line	:
City	:	WYNDMOOR
State	:	PA
Zip	:	19038-7910
Country	:	US
Telephone Number	:	215-233-4300
Fax Number	:	215-836-1991

Provider Business Practice Location Address
First Line	:	910 E WILLOW GROVE AVE
Second Line	:
City	:	WYNDMOOR
State	:	PA
Zip	:	19038-7910
Country	:	US
Telephone Number	:	215-233-4300
Fax Number	:	215-836-1991

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

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	07/31/2007

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Directions to “ WILLIAM E. BENSON MD” Practice Location

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