Individual
BENOIT DUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 MARKET ST, 3RD FLOOR, PHILADELPHIA, PA 19104
(215) 746-6700
Mailing address
3535 MARKET STREET, 3RD FLOOR, PHILADELPHIA, PA 19104
(215) 662-2286
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
MD069674L
PA
2084P0800X
Psychiatry Physician
Primary
MD069674L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019058240001
—
PA
Enumeration date
06/24/2006
Last updated
09/03/2015
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