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Individual

DR. JUSTIN O BENABDALLAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5215 LOUGHBORO RD NW, WASHINGTON, DC 20016-2618
(410) 955-4494
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
(410) 933-1390

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
2016025625
MO
208800000X
Urology Physician
D84054
MD
208800000X
Urology Physician
Primary
MD045666
DC

Other

Enumeration date
04/09/2011
Last updated
07/21/2022
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