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Individual

JAMAL BENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1701 INNOVATION DR, YORK, PA 17408-8815
(717) 843-8623
Mailing address
322 WILSON ST, MIDDLETOWN, PA 17057-1158
(202) 213-9368

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA061589
PA
363A00000X
Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103805437
PA
Enumeration date
05/30/2020
Last updated
01/16/2021
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