National Provider Identifier

Charles Benjamin King, MD

Charles Benjamin King, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Batavia, NY and a listed phone number of (585) 343-1124.

NPI 1497831721Batavia, NYFamily Medicine Physician

Profile Overview

NPI
1497831721
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
October 30, 2006
Last Updated
September 17, 2009

Practice Location

  • 430 East Main Street
  • Batavia, NY 14020

Phone: (585) 343-1124

Mailing Address

  • 24 Box Car Dr
  • North Chili, NY 14514-9796

Specialties

  • Family Medicine Physician (207Q00000X)
  • Addiction Medicine (Family Medicine) Physician (207QA0401X)
  • Emergency Medicine Physician (207P00000X)
Full Record
NPI
1497831721
Entity Type
Individual
Last Name
King
First Name
Charles
Middle Name
Benjamin
Credential
MD
Mailing Street Address
24 Box Car Dr
Mailing City
North Chili
Mailing State
NY
Mailing ZIP Code
14514-9796
Mailing Country
US
Mailing Phone
(585) 293-8123
Practice Street Address
430 East Main Street
Practice City
Batavia
Practice State
NY
Practice ZIP Code
14020
Practice Country
US
Practice Phone
(585) 343-1124
Practice Fax
(585) 343-1197
Enumeration Date
October 30, 2006
Last Updated
September 17, 2009
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X), Addiction Medicine (Family Medicine) Physician (207QA0401X), Emergency Medicine Physician (207P00000X)
Other Identifiers
01202235 (NY)