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Individual

DR. BENJAMIN JOSEPH PALACHICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
44055 RIVERSIDE PKWY STE 238, LEESBURG, VA 20176-5178
(703) 858-8878
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101269455
VA
208600000X
Surgery Physician
MT201492
PA
2086S0102X
Surgical Critical Care Physician
Primary
0101269455
VA

Other

Enumeration date
06/07/2012
Last updated
03/21/2024
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