Benner Medical Group PA

NPI #1407970809 in Lexington Park, Maryland

Provider Information

NPI Number: 1407970809
Entity Type: Organization
Organization Name: Benner Medical Group PA
Primary Specialty: Internal Medicine
Enumeration Date: Mar 19, 2007
Last Updated: Dec 2, 2008

Practice Location

Address: 20945 GREAT MILLS RD
Address 2: SUITE 203
City: Lexington Park
State: Maryland
ZIP Code: 20653-4369
Phone: (301) 866-0080

Authorized Official

Name: DR. CHARLES MYRON BENNER, MD
Title: PARTNER
Phone: (301) 866-0080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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