Provider Demographics
NPI:1447363676
Name:BENE, CATHERINE H (MD)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:H
Last Name:BENE
Suffix:
Gender:F
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:PO BOX 3528
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-0528
Mailing Address - Country:US
Mailing Address - Phone:717-755-1993
Mailing Address - Fax:717-751-0898
Practice Address - Street 1:2300 PLEASANT VALLEY RD BLDG 2
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-9627
Practice Address - Country:US
Practice Address - Phone:717-755-1993
Practice Address - Fax:717-751-0898
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD022198E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001027994Medicaid
PA001027994Medicaid
C03016Medicare UPIN