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Individual

DR. BENJAMIN D MAGNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10810 CONNECTICUT AVENUE, KENSINGTON, MD 20895-2138
(301) 929-7100
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101231487
VA
207W00000X
Ophthalmology Physician
Primary
D0057311
MD
207W00000X
Ophthalmology Physician
MD32023
DC

Other

Enumeration date
11/16/2006
Last updated
05/27/2021
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