Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | LP01847 | RI |
N | 111NI0900X | Internist | LP01847 | RI |
N | 207RH0000X | Hematologist | ME127162 | FL |
Y | 207RH0003X | Hematology & Oncology | 35.131077 | OH |
N | 207RX0202X | Medical Oncology | ME127162 | FL |
NPI | 1063730323 |
---|---|
Provider Name | Benjamin Kuritzky |
First Address | Cincinnati, OH 45236-0707 |
Second Address | Hudson, FL 34667 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2010 |
Last Update Date | 13/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
017345100 | (05) | FL |
0231815 | (05) | OH |
H573280 | MEDICARE (01) | OH |