Individual
MR. BENJAMIN PEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
785 ELKRIDGE LANDING RD STE 300, LINTHICUM HEIGHTS, MD 21090-2958
(774) 264-0423
(732) 605-5932
Mailing address
785 ELKRIDGE LANDING RD STE 300, LINTHICUM HEIGHTS, MD 21090-2958
(774) 264-0423
(732) 605-5932
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R213031
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
541033900
—
MD
Enumeration date
07/14/2014
Last updated
06/28/2021
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