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BENJAMIN PHYSICAL MEDICINE, PLC

Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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Contact Information

BENJAMIN PHYSICAL MEDICINE, PLC
373 BLAIR PARK RD
STE 206
WILLISTON, VT  05495-7998
 Phone: 802-522-9699
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Medical Specialty

 261QM2500X
Indicates primary specialty

NPI Profile & details for BENJAMIN PHYSICAL MEDICINE, PLC

NPI # 1376075804
LBN Legal business name BENJAMIN PHYSICAL MEDICINE, PLC
Authorized official SCOTT BENJAMIN - (OWNER/PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 04/03/2017
Last updated 04/03/2017 - About 9 years ago
Identifiers
VT License # 420010625
NH Medicaid 30204569
NY Medicaid 02502692
VT Medicaid 1009844
NH Other 44146784 CIGNA
NY Other 0233J1 EMPIRE BC/BS
VT Other 3547305 CIGNA
VT Other 699468 MVP
VT Other 59537 VERMONT BC/BS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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