Individual
DR. BENJAMIN T RISTAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(215) 728-6900
(215) 214-3779
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD453605
PA
Other
Enumeration date
06/22/2009
Last updated
09/28/2022
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