Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | OS005703L | PA |
NPI | 1649265752 |
---|---|
Provider Name | Dr. Benjamin Steven Chack |
First Address | Langhorne, PA 19047-1320 |
Second Address | Langhorne, PA 19047 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2005 |
Last Update Date | 04/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0062114000 | AMERIHEALTH (01) | PA |
0062114000 | KHPE (01) | PA |
109023 | ONE HEALTH PLAN (01) | PA |
1158976002 | CIGNA (01) | PR |
232558450 | BSNJ (01) | PA |
232558450 | FIDELITY PMG NETWORK (01) | PA |
232558450 | INTERGROUP (01) | PA |
398969 | MAMSI (01) | PR |
3Y4296 | HEALTHNET (01) | PA |
487379 | BLUE SHIELD PA (01) | PA |
487379 | PERSONAL CHOICE (01) | PA |
57504 | USHC (01) | PA |
BUS004 | OXFORD HEALTH (01) | PA |
D87379 | INTERCOUNTY (01) | PA |
E62666 | (02) | PA |