Individual
BENJAMIN FREDERICK BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
49 SPRING ST, FIRST FLOOR, SCARBOROUGH, ME 04074-8926
(207) 885-0011
(207) 885-5851
Mailing address
301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2264
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30229223
—
NH
Enumeration date
10/21/2008
Last updated
11/06/2014
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