Individual
BENJAMIN DAVID IVESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
200 MEMORIAL AVE, WESTMINSTER, MD 21157-5726
(410) 848-3000
Mailing address
200 MEMORIAL AVE, WESTMINSTER, MD 21157-5726
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
BP1678806
TX
207P00000X
Emergency Medicine Physician
H0091024
MD
Other
Enumeration date
04/13/2018
Last updated
06/30/2021
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