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Benjamin John Ober-Reynolds, MD, PhD

Dermatology in Redwood City, CA. Individual provider (NPI-1).

NPI number1982306189
StatusActive
Last updated in NPPESAug 19, 2026

Details

NPI
1982306189
Entity type
Individual (NPI-1)
Name
Benjamin John Ober-Reynolds
Credential
MD, PhD
Sex
Male
Sole proprietor
No
Enumeration date
Mar 20, 2023
Certification date
Aug 19, 2026
Last updated
Aug 19, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology12988CAYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

450 Broadway St
Redwood City, CA 94063-3132

Phone 650-721-7190 · Fax 650-721-7190

Mailing address

450 Broadway St Fl C2
Redwood City, CA 94063-3132

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