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Individual

DR. DE BENJAMIN WINTER III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4402 SHIPYARD BLVD, WILMINGTON, NC 28403-6161
(302) 733-3904
Mailing address
1213 VERANDAH WAY, WILMINGTON, NC 28411-9268

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2011-00277
NC
207P00000X
Emergency Medicine Physician
C7-0003443
DE
207R00000X
Internal Medicine Physician
C7-0003443
DE

Other

Enumeration date
03/13/2007
Last updated
07/11/2011
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