Individual
BENNETT JACOB OBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
WRAMC BLDG 2 DEPARTMENT OF OPHTHALMOLOGY, GEORGIA AVE. NW, WASHINGTON, DC 20307-0001
(202) 782-3501
Mailing address
WRAMC BLDG 2 RM 1F, GEORGIA AVE. NW, WASHINGTON, DC 20307-0001
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0102202608
VA
Other
Enumeration date
06/25/2008
Last updated
07/06/2011
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