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Individual

DR. BENJAMIN V DUBOIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1838 GREENE TREE RD, STE 535, BALTIMORE, MD 21208-7104
(410) 469-4000
(410) 469-4074
Mailing address
1838 GREENE TREE RD, SUITE 535, BALTIMORE, MD 21208-6391
(410) 469-4000
(410) 469-4074

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D0029391
MD
207RI0011X
Interventional Cardiology Physician
D0029391
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
398511300
MD
Enumeration date
05/31/2005
Last updated
11/09/2021
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