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Individual
DR. BENJAMIN JOHN MIRIOVSKY
Active
Individual
DR. BENJAMIN JOHN MIRIOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24979
NE
207RH0003X
Hematology & Oncology Physician
2011-00444
NC
207RH0003X
Hematology & Oncology Physician
Primary
42932
AL
207RH0003X
Hematology & Oncology Physician
MD160868
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427234277
—
NC
05
—
275147
—
AL
05
—
500661059
—
OR
01
—
512-65052
BCBS AL
AL
01
—
512-65053
BCBS AL
AL
01
—
P01224287
MEDICARE RAILROAD
OR
Enumeration date
01/10/2008
Last updated
01/27/2023
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