Provider Demographics
NPI:1174730113
Name:LASKIN, BENJAMIN LEWIS (MD)
Entity type:Individual
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First Name:BENJAMIN
Middle Name:LEWIS
Last Name:LASKIN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:100 E PENN SQ FL 9
Mailing Address - Street 2:CHCA NEPHROLOGY
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-3377
Mailing Address - Country:US
Mailing Address - Phone:267-425-9234
Mailing Address - Fax:267-425-9299
Practice Address - Street 1:3401 CIVIC CENTER BLVD
Practice Address - Street 2:CHILDREN'S HOSPITAL OF PHILADELPHIA - NEPHROLOGY
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4319
Practice Address - Country:US
Practice Address - Phone:215-590-2449
Practice Address - Fax:215-590-0425
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2016-02-11
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Provider Licenses
StateLicense IDTaxonomies
PAMD4434532080P0210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology