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Individual
DR. BENJAMIN ELLISON PUSSER
Active
Individual
DR. BENJAMIN ELLISON PUSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200400401
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141AW
BC BS
—
01
—
183088
MED COST
—
05
—
5902196
—
NC
01
—
NC7757B476
MEDICARE PTAN
NC
Enumeration date
01/30/2006
Last updated
10/09/2012
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