Individual
BENJAMIN SUSSMAN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
5200 EASTERN AVE, BALTIMORE, MD 21224-2734
(410) 550-7196
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-2704
(410) 933-1390
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R228052
MD
363LG0600X
Gerontology Nurse Practitioner
PENDING
MD
Other
Enumeration date
08/19/2021
Last updated
03/07/2024
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