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Individual
BENJAMIN PAOLO M ABRATIGUE
Active
Individual
BENJAMIN PAOLO M ABRATIGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02004522A
IN
207Q00000X
Family Medicine Physician
11016709A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201071000
—
IN
01
—
P01588206
RR MEDICARE
IN
Enumeration date
06/18/2012
Last updated
06/04/2021
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