Provider Demographics
NPI:1598931602
Name:SALES, BENEDICT (MD)
Entity Type:Individual
Prefix:
First Name:BENEDICT
Middle Name:
Last Name:SALES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 POINTE CENTER CT STE 110
Mailing Address - Street 2:
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22026-2670
Mailing Address - Country:US
Mailing Address - Phone:703-523-1750
Mailing Address - Fax:844-518-0708
Practice Address - Street 1:3600 POINTE CENTER CT STE 110
Practice Address - Street 2:
Practice Address - City:DUMFRIES
Practice Address - State:VA
Practice Address - Zip Code:22026-2670
Practice Address - Country:US
Practice Address - Phone:703-523-1750
Practice Address - Fax:844-518-0708
Is Sole Proprietor?:No
Enumeration Date:2008-05-08
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD443698207Q00000X
VA0101249432208M00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist