Individual
DR. BENJAMIN ALBERTO LARACUENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3468 BRODHEAD RD STE 11, MONACA, PA 15061-3149
(724) 728-5995
(724) 728-6705
Mailing address
3468 BRODHEAD RD STE 11, MONACA, PA 15061-3149
(724) 728-5995
(724) 728-6705
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD423382
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010604450001
—
PA
05
—
2285512
—
OH
01
—
P00101085
RR MEDICARE
—
Enumeration date
06/28/2005
Last updated
06/21/2022
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