Gonzalez, Benjamin S

Gonzalez, Benjamin S is an sole proprietor health care provider with primary practice located at 12200 Tech Rd Suite 102, Silver Spring MD 20904-1983. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Gonzalez, Benjamin S can be contacted via phone (301) 622-2722.

Contact Information

Primary practice address
12200 Tech Rd Suite 102 Silver Spring MD 20904-1983
Phone: (301) 622-2722
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD068839L Pennsylvania
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X D-0065055 Maryland

Profile Details

NPI number 1679527766
LBN Legal business name Gonzalez, Benjamin S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2006
Last updated Sep 27th, 2010 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1679527766 NPPES
Pennsylvania MEDICAID 0018246820001

Popular Providers