Individual
DR. DANIEL JAMES BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
12 SPRUCE ST, SUITE #5, AUGUSTA, ME 04330-5204
(207) 626-0100
(207) 626-0800
Mailing address
58 CROSS RD, SOUTH CHINA, ME 04358-4007
(207) 626-0100
(207) 626-0800
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
POD1012
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010539997
TAX ID
ME
01
—
040971
BLUE CROSS/BLUE SHIELD
ME
05
—
134580000
—
ME
Enumeration date
09/08/2005
Last updated
08/06/2012
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