Provider Demographics
NPI:1164484457
Name:WARFEL, BENJAMIN S (MD)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:S
Last Name:WARFEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1160 MANHEIM PIKE STE 200
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-3127
Mailing Address - Country:US
Mailing Address - Phone:717-735-1972
Mailing Address - Fax:717-735-2004
Practice Address - Street 1:1160 MANHEIM PIKE STE 200
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-3127
Practice Address - Country:US
Practice Address - Phone:717-735-1972
Practice Address - Fax:717-735-2004
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD048355L208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP030BWC130305552OtherWORKERS COMP
0095679004OtherCIGNA
1103697OtherFIRST HEALTH
2159445OtherAETNA HMO
02085101OtherCAPITAL BLUE CROSS
276026OtherMAMSI
739550OtherHIGHMARK
0739550OtherKEYSTONE HEALTH PLAN CENT
4503517OtherAETNA PPO POS
OHBWNFVSQOtherWORKERS COMP
739550MHPMedicare PIN
0739550OtherKEYSTONE HEALTH PLAN CENT
1103697OtherFIRST HEALTH
2159445OtherAETNA HMO
739550MPHMedicare ID - Type Unspecified