Organization
MONTEREY BAY UROLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID STEPHEN BENJAMIN MD (PARTNER)
(831) 728-4227
Entity
Organization
Contact information
Practice address
1575 SOQUEL DR, SANTA CRUZ, CA 95065-1700
(831) 476-2626
(831) 476-3355
Mailing address
160 GREEN VALLEY RD, SUITE 203, FREEDOM, CA 95019-3160
(831) 728-4227
(831) 728-0410
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G75256 PARTNER
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0083650
—
CA
Enumeration date
05/09/2008
Last updated
05/20/2008
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