Individual
NELSON V BENJERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9131 PISCATAWAY RD, SUITE 600, CLINTON, MD 20735-2508
(301) 868-0110
(301) 856-0604
Mailing address
9131 PISCATAWAY RD, SUITE 600, CLINTON, MD 20735-2508
(301) 868-0110
(301) 856-0604
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D00028281
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1734
BC/BS MD
MD
01
—
3104-0001
BC/BS DC
DC
05
—
37590-1600
—
MD
Enumeration date
11/04/2005
Last updated
08/07/2008
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