Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 0101254769 | VA |
N | 207SG0201X | Clinical Genetics (M.D.) | MD036525 | DC |
NPI | 1609033208 |
---|---|
Provider Name | Dr. Benjamin Solomon |
First Address | Falls Church, VA 22042-3307 |
Second Address | Falls Church, VA 22042-3307 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2008 |
Last Update Date | 27/12/2013 |