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Benjamin James Burnham, DO

Physical Medicine & Rehabilitation in Cleveland, OH. Individual provider (NPI-1).

NPI number1831726348
StatusActive
Last updated in NPPESOct 1, 2024

Details

NPI
1831726348
Entity type
Individual (NPI-1)
Name
Benjamin James Burnham
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Mar 25, 2020
Certification date
Oct 1, 2024
Last updated
Oct 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & Rehabilitation34.015760OHYes
208D00000X General Practice34.015760OH
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

11100 Euclid Ave
Cleveland, OH 44106-1716

Phone 216-844-7820

Mailing address

17621 Scottsdale Blvd
Shaker Heights, OH 44120-5224

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