Cedric Benson, M.D.
Internal Medicine in New London, CT. Individual provider (NPI-1).
NPI number1558523142
StatusActive
Last updated in NPPESDec 1, 2021
Details
- NPI
- 1558523142
- Entity type
- Individual (NPI-1)
- Name
- Cedric Benson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2008
- Certification date
- Nov 19, 2021
- Last updated
- Dec 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 048089 | CT | Yes |
| 207R00000X | Internal Medicine | MD17015 | RI | |
| 207R00000X | Internal Medicine | 244053-1 | NY | |
| 207R00000X | Internal Medicine | 250430 | MA |
Practice location
365 Montauk AveNew London, CT 06320-4769
Phone 860-442-0711
Mailing address
44 Maritime DrivePendleton Health And Rehabilitation Center
Mystic, CT 06355
Phone 860-572-1700
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