Doctor Name: | BENJAMIN P LAFERRIERE |
NPI Number: | 1023242393 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD453281 |
Business Practice Address: | 610 W Germantown Pike Suite 340 Plymouth Meeting, PA - 194621062 |
Business Phone Number: | 4845327003 |
Business Fax Number: | |
Mailing Address: | 610 W Germantown Pike, Suite 340 PLYMOUTH MEETING |
State: | PA |
Postal Code: | 194621062 |
Phone Number: | 4845327003 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2009 |
NPI Last Update Date: | 06/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD453281 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |