Provider Demographics
NPI:1669247888
Name:HERSH, BENJAMIN STANLEY (MSML, PMP, ACSM)
Entity type:Individual
Prefix:PROF
First Name:BENJAMIN
Middle Name:STANLEY
Last Name:HERSH
Suffix:
Gender:M
Credentials:MSML, PMP, ACSM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 ROCKWELL LN
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NC
Mailing Address - Zip Code:27569-6938
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:125 ROCKWELL LN
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NC
Practice Address - Zip Code:27569-6938
Practice Address - Country:US
Practice Address - Phone:301-275-8102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-17
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach