Individual
DR. BENJAMIN JOHN NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
509 SE RIVERSIDE DR STE 301, STUART, FL 34994
(772) 283-9111
(772) 283-2955
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-5665
(772) 283-2955
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD434699
PA
207R00000X
Internal Medicine Physician
MT186860
PA
207RG0100X
Gastroenterology Physician
Primary
ME109991
FL
207RG0100X
Gastroenterology Physician
MT186860
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003816600
—
FL
Enumeration date
05/17/2007
Last updated
10/13/2020
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