Individual
DR. JOHANNE KATHLEEN BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 PELHAM PKWY S, BUILDING 6/SUITE 1B25, BRONX, NY 10461-1138
(718) 918-5820
Mailing address
281 EAST 205TH STREET, APT 1H, BRONX, NY 10467-4052
(347) 799-7640
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA10323200
NJ
207P00000X
Emergency Medicine Physician
277806
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0657573
—
NJ
Enumeration date
07/19/2011
Last updated
06/09/2023
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