Provider Demographics
NPI:1811709926
Name:BENJAMIN, AMINKENG ZEMBEH
Entity type:Individual
Prefix:
First Name:AMINKENG ZEMBEH
Middle Name:
Last Name:BENJAMIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91167 BELTSVILLES DRIVE
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-3283
Mailing Address - Country:US
Mailing Address - Phone:202-734-1648
Mailing Address - Fax:
Practice Address - Street 1:91167 BELTSVILLES DRIVE
Practice Address - Street 2:91167 BELTSVILLES DRIVE
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705
Practice Address - Country:US
Practice Address - Phone:202-734-1648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator