Individual
BENJAMIN HARRISON MCILWAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44045 RIVERSIDE PKWY, INOVA LOUDOUN HOSPITAL, LEESBURG, VA 20176-5101
(703) 858-6044
(705) 858-6775
Mailing address
44045 RIVERSIDE PKWY, INOVA LOUDOUN HOSPITAL, LEESBURG, VA 20176-5101
(703) 858-6044
(705) 858-6775
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101026770
VA
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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