CHARLES S BENNER

BALTIMORE, MD
NPI1639109937
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MD  C0001505)
Additional Taxonomies363AS0400X Physician Assistant, Surgical
(Licence: MD  C0001505)
Enumeration Date2006-07-03
Last Update Date2007-07-08
Business Address
-- CHARLES S BENNER PA
301 SAINT PAUL PL SURGICAL PA'S
BALTIMORE, MD 21202-2102
Phone number: 410-332-9265
Mailing Address
-- CHARLES S BENNER PA
PO BOX 64075
BALTIMORE, MD 21264-4075
Phone number: