DR. Benjamin D Klibanoff, OD

NPI #1053611996 in Pawtucket, Rhode Island

Provider Information

NPI Number: 1053611996
Entity Type: Individual
Name: DR. Benjamin D Klibanoff, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Oct 26, 2010
Last Updated: Apr 12, 2016

Practice Location

Address: 55 BROAD ST
City: Pawtucket
State: Rhode Island
ZIP Code: 02860-2023
Phone: (401) 723-3400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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