Individual
BENJAMIN TODD GILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5100 EASTERN AVE, BALTIMORE, MD 21224-2772
(410) 814-4500
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0097494
MD
Other
Enumeration date
03/31/2020
Last updated
07/26/2023
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