Provider Demographics
NPI:1851427314
Name:BENJAMIN, JONATHAN ELIOT (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:ELIOT
Last Name:BENJAMIN
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:300 PASTEUR DR
Mailing Address - Street 2:ROOM H3249, MC 5623
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-2200
Mailing Address - Country:US
Mailing Address - Phone:650-723-0822
Mailing Address - Fax:650-725-8950
Practice Address - Street 1:300 PASTEUR DR
Practice Address - Street 2:ROOM H3249, MC 5623
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-2200
Practice Address - Country:US
Practice Address - Phone:650-723-0822
Practice Address - Fax:650-725-8950
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2008-06-20
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Provider Licenses
StateLicense IDTaxonomies
CAA83491207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology