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Individual

DR. BENJAMIN JACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(484) 862-3232
Mailing address
506 6TH ST, BROOKLYN, NY 11215-3609

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
288093
NY
207P00000X
Emergency Medicine Physician
Primary
MD465705
PA

Other

Enumeration date
01/12/2016
Last updated
10/08/2024
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