Individual
DR. BENJAMIN MCVAY PETRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 MEDICAL PKWY, STE 101, ANNAPOLIS, MD 21401-3742
(410) 295-8900
(410) 280-4701
Mailing address
2000 MEDICAL PKWY, STE 101, ANNAPOLIS, MD 21401-3743
(410) 295-8900
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
P21476
MD
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
49711
CO
Other
Enumeration date
01/30/2007
Last updated
05/22/2017
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