Individual
IRIS BEN ARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
29 W HIGH ST, EAST HAMPTON, CT 06424-1024
(617) 958-5697
Mailing address
1 BOSTON PL, BOSTON, MA 02108-4407
(617) 953-7243
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
023789
NY
363A00000X
Physician Assistant
Primary
25MP00536100
NJ
363A00000X
Physician Assistant
4440
CT
Other
Enumeration date
09/06/2019
Last updated
06/08/2023
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