Provider Demographics
NPI:1912252883
Name:ISSERLIN, BENJAMIN ALKAN (MD)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:ALKAN
Last Name:ISSERLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4008 BURNETT WOMACK
Mailing Address - Street 2:CB#7228
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7228
Mailing Address - Country:US
Mailing Address - Phone:919-966-4389
Mailing Address - Fax:919-966-0369
Practice Address - Street 1:4008 BURNETT WOMACK
Practice Address - Street 2:CB#7228
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7228
Practice Address - Country:US
Practice Address - Phone:919-966-4389
Practice Address - Fax:919-966-0369
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-17
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2012-008042086S0102X, 2086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care