Individual
MS. EDRIS BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNMT
Contact information
Practice address
10 N GREENE ST, BALTIMORE, MD 21201-1524
(410) 605-7000
Mailing address
10 N GREENE ST, BALTIMORE, MD 21201-1524
(410) 605-7000
Taxonomy
Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
16519
TX
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
63069
FL
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
N0000536
MD
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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