Mark Benjamin is a Specialist in Philadelphia, Pennsylvania. Mark Benjamin practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mark Benjamin is 1992760185. The last update date is 2007-07-08.
Mark Benjamin's current location address is 9501 Roosevelt Blvd, Philadelphia, Pennsylvania. You can contact this provider via phone number 2159692300 and fax number 2159692327. The mailing address for Mark Benjamin is 9501 Roosevelt Blvd, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Benjamin |
|---|---|
| Address | 9501 Roosevelt Blvd, Philadelphia, Pennsylvania |
| Phone Number | 2159692300 |
| Fax Number | 2159692327 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1992760185 |
|---|---|
| Provider Enumeration Date | 2006-04-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9501 Roosevelt Blvd |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191141025 |
| Phone Number | 2159692300 |
| Fax Number | 2159692327 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MD026817E |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 65803 | PA | -- | |
| 907010 | PA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mark Benjamin?
The Mark Benjamin has been issued the NPI (National Provider Identifier) 1992760185 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mark Benjamin?
The Mark Benjamin is physically situated at 9501 Roosevelt Blvd, in the city of Philadelphia, state of PA, with the postal code 191141025.
What is Mark Benjamin's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark Benjamin is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1992760185 to Mark Benjamin?
The Centers for Medicare & Medicaid Services originally issued the 1992760185 to Mark Benjamin on 2006-04-19.
When was the Mark Benjamin's information last updated?
The Mark Benjamin's information was last updated on 2007-07-08.