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NPI Code Detail

MEDICARE: SANFORD P BENJAMIN MD

MEDICARE: SANFORD P BENJAMIN 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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician22546NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760483267
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANFORD P BENJAMIN MD
Provider Business Mailing Address
First Line : PO BOX 30637
Second Line :
City : CHARLOTTE
State : NC
Zip : 28230-0637
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2001 VAIL AVE
Second Line :
City : CHARLOTTE
State : NC
Zip : 28207-1219
Country : US
Telephone Number : 704-379-5979
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 09/15/2010

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Directions to “ SANFORD P BENJAMIN MD” Practice Location

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