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Individual

DR. BENJAMIN J MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
701 TECH CENTER DR, GAHANNA, OH 43230-1987
(614) 396-2684
(614) 396-2480
Mailing address
701 TECH CENTER DR STE 250, GAHANNA, OH 43230-1987
(614) 944-4800
(614) 944-4750

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
084357
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000337155
ANTHEM
05
2490175
OH
01
P00168055
RAILROAD MEDICARE
Enumeration date
07/17/2006
Last updated
02/13/2020
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