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Individual

JAMES MAGUIRE BENZIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
A54335
CA
2085R0202X
Diagnostic Radiology Physician
Primary
A54335
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A543350
BLUE SHIELD OF CA
05
00A543350
CA
01
050396CH00039
TRAILBLAZER
01
300129183
RAILROAD MEDICARE
Enumeration date
07/18/2005
Last updated
08/18/2008
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