Provider Demographics
NPI:1124657044
Name:MARHULIK, BENJAMIN PAUL (DO)
Entity type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:PAUL
Last Name:MARHULIK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:MR
Other - First Name:BEN
Other - Middle Name:
Other - Last Name:MARHULIK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1332 CARRIAGE HILL CT
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-4434
Mailing Address - Country:US
Mailing Address - Phone:330-727-9536
Mailing Address - Fax:
Practice Address - Street 1:1120 GEORGE RD
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-8957
Practice Address - Country:US
Practice Address - Phone:419-281-3077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-02
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.016441208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics