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1396171831
BENJAMIN JACOB FORST
PHILADELPHIA, PA
NPI
1396171831
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NJ 25MP00317500)
Enumeration Date
2013-09-16
Last Update Date
2022-05-05
Business Address
BENJAMIN JACOB FORST PA-C
3500 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-4395
Phone number: 215-590-1527
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Mailing Address
BENJAMIN JACOB FORST PA-C
100 EAST PENN SQUARE THE WANAMAKER BLDG 9TH FLOOR
PHILADELPHIA, PA 19107-3323
Phone number: 267-425-9538
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