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Individual

BENJAMIN DJULBEGOVIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-3012
(843) 792-1414
Mailing address
PO BOX 23321, NEW YORK, NY 10087-3321
(843) 792-6200

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME77998
FL
207RH0000X
Hematology (Internal Medicine) Physician
Primary
C151810
CA
207RH0000X
Hematology (Internal Medicine) Physician
ME77998
FL
207RH0003X
Hematology & Oncology Physician
89329
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
254572100
FL
01
44397
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/06/2006
Last updated
03/17/2023
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