| Frederick P. Benson, Md, Inc | |
|
5595 Winfield Blvd Ste 214 San Jose CA 95123-1220 | |
| (408) 224-6211 | |
| (408) 224-6238 |
| Full Name | Frederick P. Benson, Md, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 5595 Winfield Blvd, San Jose, California |
| Authorized Official Name and Position | Frederick Paul Benson (CEO/DIRECTOR) |
| Authorized Official Contact | 4082246211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick P. Benson, Md, Inc 5595 Winfield Blvd Ste 214 San Jose CA 95123-1220 Ph: (408) 224-6211 | Frederick P. Benson, Md, Inc 5595 Winfield Blvd Ste 214 San Jose CA 95123-1220 Ph: (408) 224-6211 |
| NPI Number | 1083711220 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 11/01/2007 |
| Medicare PECOS PAC ID | 1254370513 |
|---|---|
| Medicare Enrollment ID | O20050427000416 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083711220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G45615 (California) | Primary |
| Provider Name | Frederick Paul Benson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245240993 PECOS PAC ID: 9032158399 Enrollment ID: I20050428000192 |
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