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Individual

DR. BENJAMIN ADAM GARTRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
111 E 210TH ST # 100, BRONX, NY 10467-2401
(718) 405-8404
(718) 405-8433
Mailing address
111 E 210 ST, BRONX, NY 10467
(718) 405-8404
(718) 405-8433

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
57.010155
OH

Other

Enumeration date
06/12/2007
Last updated
10/27/2015
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