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Individual
BENJAMIN MEDALION
Active
Individual
BENJAMIN MEDALION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35.125220
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
80.000012-MD
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0088241
—
OH
01
—
35.125220
LICENSE
OH
Enumeration date
07/17/2013
Last updated
01/06/2016
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