Organization
MONTEREY BAY UROLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID STEPHEN BENJAMIN M.D. (PARTNER)
(831) 728-4227
Entity
Organization
Contact information
Practice address
160 GREEN VALLEY RD, SUITE 203, FREEDOM, CA 95019-3160
(831) 728-4227
(831) 728-0410
Mailing address
160 GREEN VALLEY RD, SUITE 203, FREEDOM, CA 95019-3160
(831) 728-4227
(831) 728-0410
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0083650
—
CA
Enumeration date
11/03/2006
Last updated
03/15/2010
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