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Individual

JOHN BENJAMIN MCINTIRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
537 STANTON CHRISTIANA RD, NEWARK, DE 19713-2146
(302) 633-7550
Mailing address
1072 TROY SCHENECTADY RD, LATHAM, NY 12110-1019
(518) 786-7000
(518) 786-1160

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
292784
NY
207Y00000X
Otolaryngology Physician
BP10047052
TX
207Y00000X
Otolaryngology Physician
Primary
C1-0013135
DE

Other

Enumeration date
04/27/2013
Last updated
06/23/2021
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