Individual
CHARLES BENJAMIN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
430 EAST MAIN STREET, BATAVIA, NY 14020
(585) 343-1124
(585) 343-1197
Mailing address
24 BOX CAR DR, NORTH CHILI, NY 14514-9796
(585) 293-8123
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
177324
NY
207Q00000X
Family Medicine Physician
Primary
177324
NY
207QA0401X
Addiction Medicine (Family Medicine) Physician
177324
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01202235
—
NY
Enumeration date
10/30/2006
Last updated
09/17/2009
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