Basic Information
| Provider Information | |||||||||
| NPI: | 1649234394 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BENSIMHON | ||||||||
| FirstName: | GEORGES | ||||||||
| MiddleName: | J | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2775 SCHOENERSVILLE RD | ||||||||
| Address2: | |||||||||
| City: | BETHLEHEM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180177307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108618080 | ||||||||
| FaxNumber: | 6108491013 | ||||||||
| Practice Location | |||||||||
| Address1: | 2775 SCHOENERSVILLE RD | ||||||||
| Address2: | |||||||||
| City: | BETHLEHEM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180177307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108618080 | ||||||||
| FaxNumber: | 6108491013 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/12/2006 | ||||||||
| LastUpdateDate: | 07/29/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 25MA06786200 | NJ | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | MD039367L | PA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | 28765 | 01 | GEISINGER HEALTH PLAN | OTHER | 50088505 | 01 | CAPITAL BLUE CROSS | OTHER | 50727000 | 01 | INDEPENDENCE BLUE CROSS | OTHER | 123893 | 01 | HIGHMARK BLUE SHIELD | OTHER | 1584342 | 01 | GATEWAY HEALTH PLAN | OTHER | 20100903 | 01 | AMERIHEALTH MERCY | OTHER | 6388648 | 01 | CIGNA HEALTHCARE | OTHER | 50088505 | 01 | KEYSTONE HEALTH PLAN CENTRAL | OTHER | 50727000 | 01 | KEYSTONE HEALTH PLAN EAST | OTHER | 50727000 | 01 | AMERIHEALTH | OTHER | P00829372 | 01 | PA | RR MEDICARE | OTHER |