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NPI Code Detail

MEDICARE: DR. RALPH BENJAMIN

MEDICARE:  DR. RALPH  BENJAMIN
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
1207R00000XInternal Medicine Physician52201CT

General Provider Information

NPI Number : 1891019519
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RALPH BENJAMIN
Provider Business Mailing Address
First Line : 50 GAYLORD FARM RD
Second Line :
City : WALLINGFORD
State : CT
Zip : 06492-2828
Country : US
Telephone Number : 203-679-3553
Fax Number :
Provider Business Practice Location Address
First Line : 50 GAYLORD FARM RD
Second Line :
City : WALLINGFORD
State : CT
Zip : 06492-2828
Country : US
Telephone Number : 203-679-3553
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2010
Last Update Date : 08/15/2013

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Directions to “ DR. RALPH BENJAMIN ” Practice Location

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