Bandong, Benjamin Baltazar

Bandong, Benjamin Baltazar is an individual health care provider with primary practice located at 1501 Division Street , Baltimore MD 21217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bandong, Benjamin Baltazar can be contacted via phone (410) 383-8300.

Contact Information

Primary practice address
1501 Division Street Baltimore MD 21217
Phone: (410) 383-8300
Fax: (410) 728-4412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0016938 Maryland

Profile Details

NPI number 1598732851
LBN Legal business name Bandong, Benjamin Baltazar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598732851 NPPES
Other AB6155825 BHDD
Other D0016938 BHDD

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