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Individual

CRYSTAL C BENJAMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
909 WALNUT ST FL 2, PHILADELPHIA, PA 19107-5211
(215) 955-7000
(215) 503-7007
Mailing address
275 NICHOLS RD, FITCHBURG, MA 01420-1919
(978) 878-8374

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
252414
MA
207Q00000X
Family Medicine Physician
Primary
MD460982
PA

Other

Enumeration date
06/21/2012
Last updated
07/21/2022
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