Individual
BENJAMIN BERENDINUS BRUINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, SUITE 9329, PHILADELPHIA, PA 19104-4319
(215) 590-1858
(215) 590-1415
Mailing address
3401 CIVIC CENTER BLVD STE 9329, PHILADELPHIA, PA 19104-4319
(267) 425-9300
(267) 425-9331
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD436459
PA
208000000X
Pediatrics Physician
PENDING
NJ
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD436459
PA
Other
Enumeration date
06/02/2008
Last updated
06/01/2023
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