Provider Demographics
NPI:1114956968
Name:BENSINGER, IRMA (DO)
Entity Type:Individual
Prefix:
First Name:IRMA
Middle Name:
Last Name:BENSINGER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5450 KNOLL NORTH DR
Mailing Address - Street 2:SUITE 250
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2300
Mailing Address - Country:US
Mailing Address - Phone:410-964-6200
Mailing Address - Fax:410-964-6392
Practice Address - Street 1:5450 KNOLL NORTH DR
Practice Address - Street 2:SUITE 250
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2300
Practice Address - Country:US
Practice Address - Phone:410-964-6200
Practice Address - Fax:410-964-6392
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDH0044183207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDP00228698OtherMEDICARE RAILROAD
MD006N848FMedicare PIN
F66957Medicare UPIN