Organization
TWIN CITY INTERNAL MEDICINE SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN Y. ALBANO JR. M.D. (PHYSICIAN)
(636) 937-8642
Entity
Organization
Contact information
Practice address
1390 HIGHWAY 61, SUITE 2200, FESTUS, MO 63028-4137
(636) 937-8642
(636) 937-9555
Mailing address
PO BOX 380, CRYSTAL CITY, MO 63019-0380
(636) 937-8642
(636) 937-9555
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2001018643
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000095272
MEDICARE LEGACY/PROVIDER NUMBER
MO
01
—
1982603650
NPI NUMBER FOR BENJAMIN ALBANO, JR, M.D., OWNER OF TWIN CITY INTERNAL MEDICINE
MO
05
—
205427404
—
MO
Enumeration date
02/26/2009
Last updated
02/26/2009
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