Individual
BENJAMIN HAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
252 S 4TH ST, LEBANON, PA 17042-6111
(717) 270-7688
(717) 270-3790
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
LP05100
RI
207P00000X
Emergency Medicine Physician
Primary
MD484854
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104318002
—
PA
Enumeration date
06/25/2020
Last updated
02/03/2026
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