Individual
BENJAMIN BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
222 W 39TH AVE, SAN MATEO, CA 94403-4364
(650) 573-2222
Mailing address
222 W 39TH AVE, SAN MATEO, CA 94403-4364
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
1477128932
CA
2084P0800X
Psychiatry Physician
Primary
7229
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2021
Last updated
05/10/2023
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