Individual
DR. PHILLIP BENSON HAM III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
818 ELLICOTT ST, BUFFALO, NY 14203-1021
(716) 323-6110
Mailing address
1001 MAIN ST, BUFFALO, NY 14203-1009
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5487
GA
2086S0120X
Pediatric Surgery Physician
Primary
306910
NY
Other
Enumeration date
06/26/2012
Last updated
09/03/2022
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