Individual
DR. ROBERT MICHAEL BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-5396
(410) 328-4382
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-5396
(410) 328-4382
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D40978
MD
207RI0011X
Interventional Cardiology Physician
D40978
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022074300
—
DC
05
—
1720036460
—
DE
05
—
182921100
—
MD
01
—
529996-01
BC/BS
MD
Enumeration date
05/05/2006
Last updated
11/22/2010
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