# CHESTERTOWN FAMILY MEDICINE PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073630158
- **Authorized official:** DR. WAYNE D BENJAMIN M.D. (PRESIDENT)
- **Authorized official phone:** (410) 778-0300

## Contact information

- **Practice address:** 6602 CHURCH HILL RD, SUITE 200, CHESTERTOWN, MD 21620-2310
- **Practice address phone:** (410) 778-0300
- **Practice address fax:** (410) 778-0351
- **Mailing address:** 6602 CHURCH HILL RD, SUITE 200, CHESTERTOWN, MD 21620-2310
- **Mailing address phone:** (410) 778-0300
- **Mailing address fax:** (410) 778-0351

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | D16488 | MD | Yes |

## Other

- **Enumeration date:** 03/23/2007
- **Last updated:** 09/21/2009