Individual
JANE ELLEN BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-6500
Mailing address
PO BOX 64358, BALTIMORE, MD 21264-4358
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
D25258
MD
2085R0202X
Diagnostic Radiology Physician
D25258
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
072251100
—
MD
Enumeration date
04/25/2006
Last updated
09/07/2012
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