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Individual

BENJAMIN M TRIPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME 73510
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1178610
WELLCARE
FL
01
1959057
CIGNA
FL
01
374221
AVMED
FL
01
41440
BCBS
FL
01
5866760
AETNA
FL
01
8100
DIMENSION HEALTH
FL
01
P01591878
RR MEDICARE
FL
01
P1035318
FREEDOM
FL
01
P971112
OPTIMUM
FL
01
QMP000003834662
MOLINA
FL
Enumeration date
10/10/2006
Last updated
04/21/2017
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