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Individual

BENJAMIN W EDINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7801 OLD BRANCH AVE, SUITE 300, CLINTON, MD 20735-1608
(301) 856-6718
(301) 856-6722
Mailing address
7801 OLD BRANCH AVE, SUITE 300, CLINTON, MD 20735-1608
(301) 856-6718
(301) 856-6722

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
2085R0202X
Diagnostic Radiology Physician
Primary
D61849
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1699746354
VA
05
405986700
MD
Enumeration date
01/31/2006
Last updated
06/13/2017
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