Individual
DR. ROBERT BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 MAYO PL, DRESHER, PA 19025-1228
(215) 643-6425
(215) 643-6766
Mailing address
12 MAYO PL, DRESHER, PA 19025-1228
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MA 62120
NJ
2084P0800X
Psychiatry Physician
Primary
MD 015283E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00 1536490 0005
—
PA
01
—
MA 62120
MEDICAL LICENSE
NJ
01
—
MD 015283E
MEDICAL LICENSE
PA
Enumeration date
09/17/2006
Last updated
07/30/2007
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