Individual
BENJAMIN THOMAS WHIGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
635 W 165TH ST, NEW YORK, NY 10032
(212) 305-9535
(212) 305-5523
Mailing address
635 W 165TH ST, NEW YORK, NY 10032-3724
(212) 305-6709
(212) 305-5523
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
287412
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2013
Last updated
07/12/2018
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