| NPI | 1750322467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH JAMES BENJAMIN Owner 301-695-9669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MD A1285) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-08-22 |