institution
Benjamin Physical Medicine, Plc
Medical Specialty Clinic/Center in Williston, Vermont
NPI 1376075804

Benjamin Physical Medicine, Plc is a Medical Specialty Clinic/Center based in Williston, VT and is specialized in Medical Specialty. Benjamin Physical Medicine, Plc practices in Williston, VT. The NPI Number for Benjamin Physical Medicine, Plc is 1376075804 and holds a License No. 420010625 (Vermont).

The current practice location address for Benjamin Physical Medicine, Plc is 373 Blair Park Rd, Williston, VT and can be reached out via phone at 802-522-9699. You can also correspond with Benjamin Physical Medicine, Plc through the mailing address at 373 BLAIR PARK RD., WILLISTON, VT - 05495 (mailing address contact number: 802-522-9699).

Location: 373 Blair Park Rd, Williston, VT, 05495
institution
Provider Profile Details
NPI Number
1376075804
Provider Name
Benjamin Physical Medicine, Plc
Credential
Provider Entity Type
Organization
Address
373 Blair Park Rd, Williston, VT, 05495
Phone Number
802-522-9699
Fax Number
Provider Enumeration Date
04/03/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
59537 01 VT VERMONT BC/BS
44146784 01 NH CIGNA
3547305 01 VT CIGNA
02502692 05 NY
1009844 05 VT
30204569 05 NH
0233J1 01 NY EMPIRE BC/BS
699468 01 VT MVP
institution
Provider Business Practice Location Address Details
Address
373 Blair Park Rd
City
State
Zip
05495-7998
Phone Number
802-522-9699
Fax Number
person
Provider Business Mailing Address Details
Address
373 Blair Park Rd
City
State
Zip
05495-7998
Phone Number
802-522-9699
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
420010625 (Vermont)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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