Provider Demographics
NPI:1124280581
Name:STEINBERG, BENJAMIN J (DO)
Entity type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:J
Last Name:STEINBERG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7050 N RECREATION AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-8001
Mailing Address - Country:US
Mailing Address - Phone:559-321-2930
Mailing Address - Fax:559-321-2940
Practice Address - Street 1:7050 N RECREATION AVE STE 105
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-8001
Practice Address - Country:US
Practice Address - Phone:559-321-2930
Practice Address - Fax:559-321-2940
Is Sole Proprietor?:No
Enumeration Date:2008-06-27
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A11769207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFF446YMedicare PIN
CAFF446ZMedicare PIN