Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | D62036 | MD |
NPI | 1376510446 |
---|---|
Provider Name | Benjamin N Carr |
First Address | Baltimore, MD 21209-3746 |
Second Address | Baltimore, MD 21209-3746 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2006 |
Last Update Date | 13/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
405438500 | (05) | MD |
I12330 | (02) |