Individual
ARAM BENJAMIN LOEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 SAINT ANTOINE ST, 6C UHC, DETROIT, MI 48201
(313) 577-5013
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35.133816
OH
208800000X
Urology Physician
4301101388
MI
208800000X
Urology Physician
ME130272
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021451400
—
FL
01
—
H3Z27
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/11/2012
Last updated
01/14/2021
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