Individual
BENJAMIN MAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
201 E UNIVERSITY PKWY, BALTIMORE, MD 21218-5969
(815) 291-6570
Mailing address
4201 LA PLATA AVE, BALTIMORE, MD 21211
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101024064
MI
Other
Enumeration date
06/08/2018
Last updated
06/25/2023
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