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Individual
BENJAMIN ABRAHAM
Active
Individual
BENJAMIN ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301119227
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4301119227
OH
Other
Enumeration date
04/20/2016
Last updated
07/29/2024
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