Organization
GERIATRIC MEDICINE ,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN N PINTO M.D. (OWNER)
(206) 601-6149
Entity
Organization
Contact information
Practice address
3980 129TH PL SE APT B201, BELLEVUE, WA 98006-5293
(206) 601-6149
(206) 219-5598
Mailing address
12819 SE 38TH ST, PMB243, BELLEVUE, WA 98006-1326
(206) 601-6149
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD00028124
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0241685
L & I
—
05
—
8527749
—
WA
Enumeration date
03/27/2010
Last updated
01/27/2022
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