Organization
CHESTERTOWN FAMILY MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE D BENJAMIN M.D. (PRESIDENT)
(410) 778-0300
Entity
Organization
Contact information
Practice address
6602 CHURCH HILL RD, SUITE 200, CHESTERTOWN, MD 21620-2310
(410) 778-0300
(410) 778-0351
Mailing address
6602 CHURCH HILL RD, SUITE 200, CHESTERTOWN, MD 21620-2310
(410) 778-0300
(410) 778-0351
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D16488
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033141400
—
MD
Enumeration date
03/23/2007
Last updated
09/21/2009
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