Benjamin, Marc Andrew
Benjamin, Marc Andrew is an individual health care provider with primary practice located at 80 Seymour Street Hartford Hospital Surgery Dept, Hartford CT 06102-5037. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Benjamin, Marc Andrew can be contacted via phone (860) 972-4670.Contact Information
Primary practice address
80 Seymour Street Hartford Hospital Surgery Dept
Hartford CT 06102-5037
Phone: (860) 972-4670
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 000991 | Connecticut |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 000991 | Connecticut |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 000991 | Connecticut |
Profile Details
NPI number | 1639166911 |
---|---|
LBN Legal business name | Benjamin, Marc Andrew |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 3rd, 2005 |
Last updated | May 27th, 2014 - about 10 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 | 1639166911 | NPPES |
Connecticut | MEDICAID | 003009917 |
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