Individual
BENJAMIN MUNIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 VA CTR, AUGUSTA, ME 04330-6719
(207) 623-8411
Mailing address
1 VA CTR, AUGUSTA, ME 04330-6719
(207) 623-8411
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
6009
ME
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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