Provider Demographics
NPI:1568709467
Name:BENJAMIN, JENNIFER CHRISTINA (MD, MRCPCH)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:CHRISTINA
Last Name:BENJAMIN
Suffix:
Gender:F
Credentials:MD, MRCPCH
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2500 METROHEALTH DR
Mailing Address - Street 2:DEAPRTMENT OF PEDIATRICS, MHMC
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44109-1900
Mailing Address - Country:US
Mailing Address - Phone:216-778-2406
Mailing Address - Fax:
Practice Address - Street 1:2500 METRO HEALTH DRIVE
Practice Address - Street 2:DEPT. OF PEDIATRICS
Practice Address - City:PARMA HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44109-9098
Practice Address - Country:US
Practice Address - Phone:216-778-2406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-11
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHUD238784208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics