Individual
MR. BENJAMIN LOUIS SHELKROT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-3867
Mailing address
500 E DURHAM ST, PHILADELPHIA, PA 19119-1224
(215) 520-1225
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN669685
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN669685
PA
Other
Enumeration date
05/30/2017
Last updated
01/06/2020
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