Individual provider · Type 1 NPI

Benjamin Mennitt

Medical Physician Assistant · Woodbridge, VA

NPI number 1689588022 Active

Practice location

2296 Opitz Blvd Ste 350
Woodbridge, VA 22191-3346

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1689588022

Benjamin Mennitt's National Provider Identifier is 1689588022, issued on Oct 1, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Woodbridge, VA. The record was last updated on Oct 1, 2026.