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:
Health care specialties
| Specialty | Code | License # | 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 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598732851 | NPPES |
| Other | AB6155825 | BHDD | |
| Other | D0016938 | BHDD |
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