Individual
ANDREW ROBERT BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 N WOLFE ST, BLALOCK 1415, BALTIMORE, MD 21287-0005
(410) 955-8408
Mailing address
506 CREEK CROSSING LN, GLEN BURNIE, MD 21060-7515
(410) 935-8440
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R162397
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
R162397
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417823800
—
MD
Enumeration date
04/06/2009
Last updated
10/29/2009
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