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Individual
BENJAMIN FREEZE
Active
Individual
BENJAMIN FREEZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
277648
MA
2085R0202X
Diagnostic Radiology Physician
60282018
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2014
Last updated
06/21/2019
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