Provider Demographics
NPI:1376778597
Name:VINCENT, BENJAMIN (MD)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:
Last Name:VINCENT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:101 MANNING DR
Mailing Address - Street 2:DEPT OF MEDICINE, CB# 7005
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-4220
Mailing Address - Country:US
Mailing Address - Phone:919-966-1072
Mailing Address - Fax:919-843-2356
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:DEPT OF MEDICINE, CB# 7005
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4220
Practice Address - Country:US
Practice Address - Phone:919-966-1072
Practice Address - Fax:919-843-2356
Is Sole Proprietor?:No
Enumeration Date:2009-05-18
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2012-00785207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology