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Individual

DR. LEONARD D BENITEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA05624100
NJ
208600000X
Surgery Physician
35.141071
OH
208600000X
Surgery Physician
Primary
4301095540
MI
208600000X
Surgery Physician
ME68246
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0469568
OH
Enumeration date
06/02/2006
Last updated
12/24/2021
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