Individual
MR. JOSEPH C BENJAMIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1100 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1909
(570) 447-3569
Mailing address
303 MAIN ST, APT 3, BLOSSBURG, PA 16912-1161
(570) 447-3576
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003818
PA
Other
Enumeration date
04/03/2006
Last updated
07/08/2007
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