Individual
BENJAMIN INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 FIFTH AVE PLACE, MAIL CODE HM171-A, PITTSBURGH, PA 15222
(414) 955-6920
Mailing address
120 FIFTH AVE PLACE, MAIL CODE HM171-A, PITTSBURGH, PA 15222
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA064441
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA064441
COMMONWEALTH OF PENNSYLVANIA
PA
Enumeration date
07/21/2017
Last updated
04/19/2023
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