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Individual

BENJAMIN FREEZE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-8323
Mailing address
525 E 68TH ST # 141, WEILL CORNELL RADIOLOGY RESIDENCY PROGRAM, NEW YORK, NY 10065-4870
(212) 746-7527

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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