Individual
BENJAMIN LAWTHER CUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
WALTER REED NATIONAL MILITARY CTR, 8901 WISCONSIN AVENUE, BETHESDA, MD 20889-0001
(301) 295-9283
Mailing address
WALTER REED NATIONAL MILITARY CTR, 8901 WISCONSIN AVENUE, BETHESDA, MD 20889-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101266861
VA
207RI0200X
Infectious Disease Physician
Primary
0101266861
VA
Other
Enumeration date
04/10/2017
Last updated
08/07/2023
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