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Individual

DR. BENJAMIN PETER ENG

Active
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Individual

DR. BENJAMIN PETER ENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101032402
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-002 -003
TRICARE/CHAMPUS
VA
05
—
005612641
—
VA
05
—
005624851
—
VA
01
—
05563
BC/BS
NC
01
—
081922
ANTHEM
VA
01
—
11092
SENTARA OPTIMA
VA
01
—
2180428
UHC/MAMSI
VA
01
—
225564
UHC/MAMSI
VA
05
—
8905563
—
NC
01
—
PAR
AETNA
VA
Enumeration date
02/15/2006
Last updated
01/23/2009
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