Provider Demographics
NPI:1982023719
Name:ELSWICK, BENJAMIN NORRIS (MD)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:NORRIS
Last Name:ELSWICK
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 1:5432 GEARY BLVD # 215
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94121-2307
Mailing Address - Country:US
Mailing Address - Phone:415-723-0237
Mailing Address - Fax:
Practice Address - Street 1:3129 FILLMORE ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-3439
Practice Address - Country:US
Practice Address - Phone:415-237-0377
Practice Address - Fax:415-237-0377
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-09
Last Update Date:2022-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2910522084P0800X
CAA1547482084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty