Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | D53061 | MD |
N | 208200000X | Surgeon | D53061 | MA |
N | 208600000X | Surgeon | D53061 | MA |
NPI | 1578585683 |
---|---|
Provider Name | Dr. Benjamin Philosophe |
First Address | Baltimore, MD 21264-4563 |
Second Address | Baltimore, MD 21287-0005 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 29/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0000870601 | (05) | DE |
0006 | CAREFIRST REGIONAL (01) | MD |
1700812 | UNITED HLTHCARE (01) | MD |
1783285/01 | (05) | PA |
1853058 | UNITED HLTHCARE NATIONAL (01) | MD |
214338 | KAISER (01) | MD |
262397 | MDIPA (01) | MD |
413010300 | (05) | MD |
54827302 | BLUE SHIELD (01) | MD |
65481 | GEISINGER (01) | MD |
8798800 | (05) | NJ |
G64512 | (02) | MD |