Individual
MR. BENJAMIN ROBERT IERARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
33 MAGOTHY BEACH RD STE 102-103, PASADENA, MD 21122-4413
(410) 255-7900
Mailing address
311 NORFOLK ST, SEVERNA PARK, MD 21146-4202
(443) 422-0383
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
07/30/2021
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