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Individual

DR. BENJAMIN BENDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
201 S 11TH ST, PHILADELPHIA, PA 19107-5571
(267) 694-1939
Mailing address
201 S 11TH ST, PHILADELPHIA, PA 19107-5571
(267) 694-1939

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MT191933
PA

Other

Enumeration date
10/02/2008
Last updated
10/02/2008
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