Braslow, Benjamin M
Braslow, Benjamin M is an individual health care provider with primary practice located at 3400 Spruce Street 5 Maloney, Philadelphia PA 19104. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Braslow, Benjamin M can be contacted via phone (215) 662-7320.Contact Information
Primary practice address
3400 Spruce Street 5 Maloney
Philadelphia PA 19104
Phone: (215) 662-7320
Fax: (215) 243-4605
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | MD066263L | Pennsylvania |
Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | MD066263L | Pennsylvania |
Profile Details
NPI number | 1518997071 |
---|---|
LBN Legal business name | Braslow, Benjamin M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 3rd, 2006 |
Last updated | Jun 7th, 2018 - about 7 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 | 1518997071 | NPPES |
Pennsylvania | MEDICAID | 0018961080001 |
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