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Individual
JOHN THAVERTHUNDIYIL BENJAMIN
Active
Individual
JOHN THAVERTHUNDIYIL BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C195299
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
26601
AL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
C195299
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
MD48419
TN
Other
Enumeration date
03/16/2007
Last updated
03/13/2025
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