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NPI Code Detail

MEDICARE: BENSONS DERMATOLOGY & SKIN CANCER

MEDICARE: BENSONS DERMATOLOGY & SKIN CANCER
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
1207N00000XDermatology Physician

General Provider Information

NPI Number : 1932103819
Entity Type Code : Organization
Provider Name (Legal Business Name) : BENSONS DERMATOLOGY & SKIN CANCER
Provider Business Mailing Address
First Line : 180 N 5TH ST
Second Line :
City : PONCHATOULA
State : LA
Zip : 70454-2532
Country : US
Telephone Number : 985-370-7768
Fax Number :
Provider Business Practice Location Address
First Line : 180 N 5TH ST
Second Line :
City : PONCHATOULA
State : LA
Zip : 70454-2532
Country : US
Telephone Number : 985-370-7768
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. ROBERT W BENSON
Credential : M.D.
Telephone Number : 985-370-7768
Provider Enumeration Date : 06/09/2005
Last Update Date : 12/01/2007

Similar Medicare Providers

1962406843 — DR. ROBERT W BENSON M.D.
Practice Location Address:
180 N 5TH ST
PONCHATOULA, LA
70454-2532
Practice Phone: 985-370-7768
Practice Fax:
1629035860 — SANDRA C THORNHILL NP
Practice Location Address:
180 N 5TH ST
PONCHATOULA, LA
70454-2532
Practice Phone: 985-370-7768
Practice Fax:
1336474402 — KIMBERLY CHRISTINE BENSON PA
Practice Location Address:
180 N 5TH ST
PONCHATOULA, LA
70454-2532
Practice Phone: 985-370-7546
Practice Fax: 985-370-7765
1932542198 — DR. FALON VICTORIA BROWN D.O.
Practice Location Address:
180 N 5TH ST
PONCHATOULA, LA
70454-2532
Practice Phone: 985-370-7546
Practice Fax: 985-370-7765
1508234600 — INTEGRATED DERMATOLOGY OF PONCHATOULA, LLC
Practice Location Address:
180 N 5TH ST
PONCHATOULA, LA
70454-2532
Practice Phone: 985-370-7546
Practice Fax:
1013368794 — KIMBERLY PATERNOSTRO BORDELON
Practice Location Address:
180 N 5TH ST
PONCHATOULA, LA
70454-2532
Practice Phone: 985-370-7546
Practice Fax:

Directions to “BENSONS DERMATOLOGY & SKIN CANCER ” Practice Location

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