Dr Benjamin Tabiolo Ulep, MD | |
Sussex Ii State Prison, 24427 Musselwhite Dr, Waverly, VA 23891-0001 | |
(804) 834-2678 | |
(804) 834-2600 |
Full Name | Dr Benjamin Tabiolo Ulep |
---|---|
Gender | Male |
Speciality | General Practice |
Location | Sussex Ii State Prison, Waverly, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992923825 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 0101840437 (Virginia) | Primary |
Mailing Address | Practice Location Address |
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Dr Benjamin Tabiolo Ulep, MD 12705 Karlyn Ct, Chester, VA 23836-2553 Ph: (804) 530-0906 | Dr Benjamin Tabiolo Ulep, MD Sussex Ii State Prison, 24427 Musselwhite Dr, Waverly, VA 23891-0001 Ph: (804) 834-2678 |