Individual
BENJAMIN HENRY HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4735 OGLETOWN STANTON RD STE 3301, NEWARK, DE 19713-7021
(302) 623-4370
Mailing address
200 HYGEIA DR STE 2300, NEWARK, DE 19713-2049
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00713000
NJ
363A00000X
Physician Assistant
C50011591
DE
363A00000X
Physician Assistant
MA062771
PA
Other
Enumeration date
02/02/2021
Last updated
08/05/2024
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