MEDICARE: BEN HUNTER MD

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	2084P0800X	Psychiatry Physician	MT203570	PA

General Provider Information

NPI Number	:	1235574930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEN HUNTER MD

Provider Business Mailing Address
First Line	:	3400 SPRUCE ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-4206
Country	:	US
Telephone Number	:	215-746-7222
Fax Number	:

Provider Business Practice Location Address
First Line	:	1961 N DRUID HILLS RD NE
Second Line	:
City	:	BROOKHAVEN
State	:	GA
Zip	:	30329-1807
Country	:	US
Telephone Number	:	404-315-8333
Fax Number	:

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

Provider Enumeration Date	:	05/08/2013
Last Update Date	:	12/17/2021

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Directions to “ BEN HUNTER MD” Practice Location

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