Benjamin, Edward Harris

Benjamin, Edward Harris is an sole proprietor health care provider with primary practice located at 115 Elm St Suite 205, Enfield CT 06082-3712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Benjamin, Edward Harris can be contacted via phone (860) 741-2531.

Contact Information

Primary practice address
115 Elm St Suite 205 Enfield CT 06082-3712
Phone: (860) 741-2531
Fax: (860) 745-7587
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 021127 Connecticut

Profile Details

NPI number 1780737262
LBN Legal business name Benjamin, Edward Harris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2007
Last updated Jul 8th, 2007 - about 18 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 1780737262 NPPES
Other 0044560 AETNA
Other 061044668 0001 AETNA
MEDICAID 1211275 AETNA
Other 052513 AETNA
Other P857762 AETNA
Other 010021127CT01 AETNA
Other 0000P00382 AETNA

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