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Individual
KIM BENJAMIN WOODS
Active
Individual
KIM BENJAMIN WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
165573-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00984592
—
NY
01
—
1000002323
AFFINITY
NY
01
—
11P4451
NYPHP
NY
01
—
134031158
119
NY
01
—
14E511
BC/BS
NY
01
—
165573
HIP
NY
01
—
2357778
AETNA
NY
01
—
594372
UNITED HEATH CARE
NY
01
—
7102064002
CIGNA
NY
01
—
7594112
AETNA PPO
NY
01
—
P589665
OXFORD
NY
Enumeration date
03/02/2006
Last updated
07/24/2012
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