Individual
BENJAMIN P LAFERRIERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5187 SCHOOL RD S, EXPORT, PA 15632-1824
(484) 804-1175
Mailing address
29 MYRTLE AVE, MADISON, NJ 07940-1234
(973) 590-6054
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD453281
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023242393
N/A
—
Enumeration date
05/14/2009
Last updated
01/19/2022
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