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Individual

DR. BENJAMIN BLUEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5855 BREMO RD STE 102, RICHMOND, VA 23226-1926
(804) 673-2814
(804) 673-2873
Mailing address
PO BOX 639994, CINCINNATI, OH 45263-9994

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT-205263
PA
207RI0200X
Infectious Disease Physician
Primary
0101280316
VA
207RI0200X
Infectious Disease Physician
A155129
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MT-205263
GRADUATE MEDICAL EDUCATION, HAHNEMANN UNIVERSITY HOSPITAL
PA
Enumeration date
06/24/2013
Last updated
01/24/2024
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