Individual
IVOR J. BENJAMIN
Active
Individual
IVOR J. BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
5409926-1205
UT
207RC0000X
Cardiovascular Disease Physician
Primary
61070
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851481485
—
WI
01
—
P00063496
RAILROAD MEDICARE
UT
Enumeration date
10/13/2006
Last updated
08/18/2022
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