Provider Demographics
NPI:1245416742
Name:BENJAMIN N PINTO MD
Entity Type:Organization
Organization Name:BENJAMIN N PINTO MD
Other - Org Name:GERIATRIC MEDICINE PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MISSI
Authorized Official - Middle Name:D
Authorized Official - Last Name:WEIDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-766-8366
Mailing Address - Street 1:5421 S FEDERAL CIR
Mailing Address - Street 2:SUITE J206
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-7701
Mailing Address - Country:US
Mailing Address - Phone:303-325-7687
Mailing Address - Fax:303-783-8587
Practice Address - Street 1:5421 S FEDERAL CIR
Practice Address - Street 2:SUITE J206
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-7701
Practice Address - Country:US
Practice Address - Phone:303-325-7687
Practice Address - Fax:303-783-8587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-14
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO38188207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Single Specialty