| Mary E. Benjamin, M.d., Llc | |
|
11223 Lockwood Dr Silver Spring MD 20901-4554 | |
| (301) 681-6854 | |
| (301) 681-2607 |
| Full Name | Mary E. Benjamin, M.d., Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11223 Lockwood Dr, Silver Spring, Maryland |
| Authorized Official Name and Position | Mary Elisabeth Benjamin (PHYSICIAN/OWNER) |
| Authorized Official Contact | 3016816654 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary E. Benjamin, M.d., Llc 11223 Lockwood Dr Silver Spring MD 20901-4554 Ph: (301) 681-6854 | Mary E. Benjamin, M.d., Llc 11223 Lockwood Dr Silver Spring MD 20901-4554 Ph: (301) 681-6854 |
| NPI Number | 1548653678 |
|---|---|
| Provider Enumeration Date | 03/13/2015 |
| Last Update Date | 03/13/2015 |
| Medicare PECOS PAC ID | 2961721261 |
|---|---|
| Medicare Enrollment ID | O20150508000703 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548653678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | D48252 (Maryland) | Primary |
| Provider Name | Mary Elisabeth Benjamin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801066824 PECOS PAC ID: 4688568033 Enrollment ID: I20040209000527 |
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