Jerry A, Benjamin is a Medical in Windsor, Connecticut. Jerry A, Benjamin practices all healthcare services and medical treatments related to Medical. The NPI Number for Jerry A, Benjamin is 1316915259. The last update date is 2013-12-19.
Jerry A, Benjamin's current location address is 1060 Day Hill Rd, Windsor, Connecticut. You can contact this provider via phone number 8606962450 and fax number 8606962460. The mailing address for Jerry A, Benjamin is 1060 Day Hill Rd, Windsor, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry A, Benjamin |
|---|---|
| Address | 1060 Day Hill Rd, Windsor, Connecticut |
| Phone Number | 8606962450 |
| Fax Number | 8606962460 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1316915259 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2013-12-19 |
Provider Mailing Address Detail
| Address | 1060 Day Hill Rd |
|---|---|
| City | Windsor |
| State | Connecticut (CT) |
| Post Code | 60955719 |
| Phone Number | 8606962450 |
| Fax Number | 8606962460 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 69 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1316915259 | CT | NPI |
Post Comment/ Review Below
What is the Jerry A, Benjamin's 1316915259?
The Jerry A, Benjamin's NPI (National Provider Identifier) Number is 1316915259. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jerry A, Benjamin's facilities are geographically located?
The facilities of Jerry A, Benjamin are physically situated at the following location: 1060 Day Hill Rd, Windsor, CT, 60955719.
What is Jerry A, Benjamin's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jerry A, Benjamin is Medical, and the corresponding taxonomy classification code for this specialized field is 363Am0700X.
On what date did the Jerry A, Benjamin receive the assignment of its 1316915259 from the Centers for Medicare & Medicaid Services?
The Jerry A, Benjamin was issued its 1316915259 by the Centers for Medicare & Medicaid Services on 2006-03-08.
As of what date was the information regarding Jerry A, Benjamin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jerry A, Benjamin, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-12-19.
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