NPI 1104975283

Honorata Mag-Iba Bengzon, MD

Practitioner Specialist Dover, DE

Practice location

Address: 22 Old Rudnick Ln, Dover, DE 19901-4912
Phone: (302) 674-1356
Fax: (302) 678-8296

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence C10002026 (DE)

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Registry record

NPI: 1104975283
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.