Individual
BENJAMIN JOHN LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 CEDAR ST STE LMP 4085, NEW HAVEN, CT 06510-3218
(203) 785-2022
(203) 737-2786
Mailing address
PO BOX 208064, NEW HAVEN, CT 06520-8064
(203) 785-2022
(203) 737-2786
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
82414
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201294740
—
IN
Enumeration date
11/03/2008
Last updated
10/20/2025
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