Individual
JOHN BENZIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6 E CHESTNUT ST, AUGUSTA, ME 04330-5717
(207) 626-1406
(207) 626-1046
Mailing address
PMB 2700, 4 SCAMMAN ST SUITE 19, SACO, ME 04072
(207) 282-4704
(207) 286-3218
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
011870
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025969
ANTHEM
ME
05
—
111800199
—
ME
01
—
2232573
AETNA
ME
01
—
M59112
CIGNA
ME
Enumeration date
12/08/2006
Last updated
05/09/2008
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