Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David Benjamin Mark Ganetzky, MD

Individual provider Family Medicine Physician · NPI 1043539539

David Benjamin Mark Ganetzky, MD is a Family Practice in Philadelphia, Pennsylvania. Qualified in 2010, 16 years ago. Practices with Trustees of the University of Pennsylvania, a 148-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
16
Licensed in
PA
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

51 N 39th St 7 Fl Mutch Bldg
Philadelphia, PA 19104-2640
Phone: (215) 662-8777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD448727 (PA)

Record details

NPI number1043539539
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2010
Last updated in NPPESMay 22, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Trustees Of The University Of Pennsylvania — 148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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