Stafford, Benjamin Thomas

Stafford, Benjamin Thomas is an individual health care provider with primary practice located at 612 W Duarte Rd Suite 304, Arcadia CA 91007-7602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Stafford, Benjamin Thomas can be contacted via phone (626) 446-4461.

Contact Information

Primary practice address
612 W Duarte Rd Suite 304 Arcadia CA 91007-7602
Phone: (626) 446-4461
Fax: (626) 445-0647
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X G19825 California

Profile Details

NPI number 1063502318
LBN Legal business name Stafford, Benjamin Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2006
Last updated Jul 8th, 2007 - about 19 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 1063502318 NPPES
California MEDICAID YYY48961Y
California Other G19825
California Other YYY48961Y

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