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Individual

CHRISTOPHER BENN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
5900 CEDAR LN, COLUMBIA, MD 21044-3635
(443) 718-4067
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 822-4355

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0008177
MD

Other

Enumeration date
10/04/2021
Last updated
11/11/2021
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