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Individual

JOHN BENJAMIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
245 N. 15TH STREET, PHILADELPHIA, PA 19102
(215) 762-2365
Mailing address
131 S 13TH ST # 3F, PHILADELPHIA, PA 19107-4903

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
19383
NV
207P00000X
Emergency Medicine Physician
Primary
MT206816
PA

Other

Enumeration date
06/20/2014
Last updated
03/14/2025
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