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NPI Code Detail

MEDICARE: BENJAMIN R PIMENTEL M.D.

MEDICARE:   BENJAMIN R PIMENTEL  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician74644MA

General Provider Information

NPI Number : 1043325392
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN R PIMENTEL M.D.
Provider Business Mailing Address
First Line : PHYSICIANS GROUP CHTD
Second Line : 601 POST OFFICE RD #1-A
City : WALDORF
State : MD
Zip : 20602
Country : US
Telephone Number : 301-638-0186
Fax Number :
Provider Business Practice Location Address
First Line : PHYSICIANS GROUP CHTD
Second Line : 601 POST OFFICE RD #1-A
City : WALDORF
State : MD
Zip : 20602-1912
Country : US
Telephone Number : 301-638-0186
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2006
Last Update Date : 07/08/2007

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Directions to “ BENJAMIN R PIMENTEL M.D.” Practice Location

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