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Individual

BENJAMIN BIEWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(347) 798-9213
Mailing address
5804 DALE AVE, EDINA, MN 55436-2473
(612) 875-1655

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
322240
NY
208VP0014X
Interventional Pain Medicine Physician
322240
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/05/2019
Last updated
12/04/2024
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