Individual
BENJAMIN JACOB FORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3500 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4395
(215) 590-1527
(267) 425-9552
Mailing address
100 EAST PENN SQUARE, THE WANAMAKER BLDG 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(267) 425-9538
(267) 425-9552
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00317500
NJ
Other
Enumeration date
09/16/2013
Last updated
05/05/2022
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