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NPI Code Detail

MEDICARE: DR. BENJAMIN D STRATFORD N.D.

MEDICARE:  DR. BENJAMIN D STRATFORD  N.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
1175F00000XNaturopath000378CT

General Provider Information

NPI Number : 1316127087
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BENJAMIN D STRATFORD N.D.
Provider Business Mailing Address
First Line : PO BOX 110008
Second Line :
City : TRUMBULL
State : CT
Zip : 06611-0008
Country : US
Telephone Number : 203-373-0326
Fax Number : 203-373-0509
Provider Business Practice Location Address
First Line : 4761 MAIN ST
Second Line :
City : BRIDGEPORT
State : CT
Zip : 06606-1801
Country : US
Telephone Number : 203-816-0326
Fax Number : 203-373-0509
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2007
Last Update Date : 02/17/2011

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