Individual
BENJAMIN OBER-REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
450 BROADWAY ST, REDWOOD CITY, CA 94063-3132
(650) 721-7190
(650) 721-7190
Mailing address
450 BROADWAY ST FL C2, REDWOOD CITY, CA 94063-3132
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
12988
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2023
Last updated
08/15/2024
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