Search › Pennsylvania › 104100000X
Benjamin Tavares, LSW
NPI 1447894712 · on the registry since 2019 · sole proprietor
Practice
- Address
- 4725 Chester Ave Apt B2
Philadelphia, PA 19143 - Phone
- (978) 380-2876
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-10-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania