Individual
DR. WAYNE DOUGLAS BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6602 CHURCH HILL RD, 200, CHESTERTOWN, MD 21620
(410) 778-0300
(410) 778-0351
Mailing address
6602 CHURCH HILL RD, 200, CHESTERTOWN, MD 21620
(410) 778-0300
(410) 778-0351
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D16488
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033141400
—
MD
Enumeration date
04/25/2006
Last updated
06/13/2011
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