Individual
DR. MARSHALL E. BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 553-8300
(410) 553-8349
Mailing address
300 HOSPITAL DR, STE 132, GLEN BURNIE, MD 21061-6902
(410) 787-4594
(410) 553-8349
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D0050688
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000871201
—
DE
01
—
0016
CAREFIRST
MD
05
—
013756100
—
MD
01
—
112716
US HLTHCARE
MD
01
—
1700756
UNITED HLTHCARE
MD
01
—
1727681
UNITED HLTHCARE NATIONAL
MD
01
—
214349
KAISER
MD
01
—
340305
MDIPA
MD
01
—
54350203
BLUE SHIELD
MD
01
—
65473
GEISINGER
MD
Enumeration date
07/31/2006
Last updated
11/15/2016
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