| Max Benzaquen Md Pc | |
|
224 S Woods Mill Rd Suite 290 South Chesterfield MO 63017-3451 | |
| (314) 878-8744 | |
| (314) 878-2234 |
| Full Name | Max Benzaquen Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 224 S Woods Mill Rd, Chesterfield, Missouri |
| Authorized Official Name and Position | Max P Benzaquen (OWNER) |
| Authorized Official Contact | 3148788744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Max Benzaquen Md Pc 224 S Woods Mill Rd Suite 290 South Chesterfield MO 63017-3451 Ph: (314) 878-8744 | Max Benzaquen Md Pc 224 S Woods Mill Rd Suite 290 South Chesterfield MO 63017-3451 Ph: (314) 878-8744 |
| NPI Number | 1851554554 |
|---|---|
| Provider Enumeration Date | 07/03/2008 |
| Last Update Date | 07/03/2008 |
| Medicare PECOS PAC ID | 4486726536 |
|---|---|
| Medicare Enrollment ID | O20080707000180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851554554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Max P Benzaquen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366426900 PECOS PAC ID: 1850371295 Enrollment ID: I20040724000434 |
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