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Individual
MR. BENJAMIN THOMAS ANDERSON
Active
Individual
MR. BENJAMIN THOMAS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02004299A
IN
208M00000X
Hospitalist Physician
Primary
02004299A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000881873
ANTHEM
IN
05
—
201094390
—
IN
01
—
P01342297
MCR RAILROAD
IN
Enumeration date
03/24/2011
Last updated
09/10/2026
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