MEDICARE: DR. BENJAMIN SCOTT HARRIS 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
1	207VE0102X	Reproductive Endocrinology Physician	0101274441	VA

General Provider Information

NPI Number	:	1679992184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENJAMIN SCOTT HARRIS M.D.

Provider Business Mailing Address
First Line	:	9600 BLACKWELL RD STE 500
Second Line	:
City	:	ROCKVILLE
State	:	MD
Zip	:	20850-3783
Country	:	US
Telephone Number	:
Fax Number	:	855-420-8517

Provider Business Practice Location Address
First Line	:	9030 STONY POINT PKWY STE 450
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23235-1941
Country	:	US
Telephone Number	:	804-500-9999
Fax Number	:	804-323-9979

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2014
Last Update Date	:	11/09/2022

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