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Individual

DR. MARK BENITEZ TARANTAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
344 THOMPSON RD, WEBSTER, MA 01570-1509
(508) 671-4050
(508) 949-6742
Mailing address
344 THOMPSON RD, WEBSTER, MA 01570-1509
(508) 671-4050
(508) 949-6742

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
242513
MA

Other

Enumeration date
11/10/2009
Last updated
11/15/2012
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