Individual
BENJAMIN CONTRERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 N JAMES RD, COLUMBUS, OH 43219-1834
(614) 257-5000
(804) 435-2688
Mailing address
420 N JAMES RD, COLUMBUS, OH 43219-1834
(614) 257-5000
(804) 435-2688
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101248788
VA
208VP0014X
Interventional Pain Medicine Physician
Primary
ME62685
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18163
FL BCBS NUMBER
FL
05
—
371535300
—
FL
01
—
P00214149
MEDICARE RAILROAD
FL
Enumeration date
05/18/2006
Last updated
06/29/2018
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