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Dr. Mark Benjamin, MD
Specialist in Philadelphia, Pennsylvania
NPI 1992760185

Mark Benjamin is a Specialist based in Philadelphia, PA. Mark Benjamin practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Mark Benjamin is 1992760185 and holds a License No. MD026817E (Pennsylvania).

The current practice location address for Mark Benjamin is 9501 Roosevelt Blvd, Philadelphia, PA and can be reached out via phone at 215-969-2300 and via fax at 215-969-2327.

Location: 9501 Roosevelt Blvd, Philadelphia, PA, 19114-1025
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992760185
Provider Name
Mark Benjamin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9501 Roosevelt Blvd, Philadelphia, PA, 19114-1025
Phone Number
215-969-2300
Fax Number
215-969-2327
Provider Enumeration Date
04/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0065803 05 PA
0907010 05 PA
institution
Provider Business Practice Location Address Details
Address
9501 Roosevelt Blvd
City
Philadelphia
State
Pennsylvania
Zip
19114-1025
Phone Number
215-969-2300
Fax Number
215-969-2327
person
Provider Business Mailing Address Details
Address
9501 Roosevelt Blvd
City
Philadelphia
State
Pennsylvania
Zip
19114-1025
Phone Number
215-969-2300
Fax Number
215-969-2327
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD026817E (Pennsylvania)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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