Individual
BENJAMIN JAMES BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7820
Mailing address
17621 SCOTTSDALE BLVD, SHAKER HEIGHTS, OH 44120-5224
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
34.015760
OH
208D00000X
General Practice Physician
34.015760
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2020
Last updated
10/01/2024
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