Individual
DR. BENJAMIN DRATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6981 N PARK DR STE 200A, PENNSAUKEN, NJ 08109-4201
(856) 663-4949
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB11791400
NJ
207Q00000X
Family Medicine Physician
OS017816
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030633480001
—
PA
Enumeration date
06/18/2012
Last updated
10/06/2023
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