Individual
DR. BENJAMIN PETER ENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
721 FAIRFAX AVE, NORFOLK, VA 23507-2007
(757) 446-5955
(757) 446-5196
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-5955
(757) 446-5196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101032402
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-002 -003
TRICARE/CHAMPUS
VA
05
—
005612641
—
VA
05
—
005624851
—
VA
01
—
05563
BC/BS
NC
01
—
081922
ANTHEM
VA
01
—
11092
SENTARA OPTIMA
VA
01
—
2180428
UHC/MAMSI
VA
01
—
225564
UHC/MAMSI
VA
05
—
8905563
—
NC
01
—
PAR
USA MANAGED CARE
VA
Enumeration date
02/15/2006
Last updated
01/23/2009
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