Individual
GARY BENTON MAGLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-7000
Mailing address
1330 BOYLSTON ST UNIT 1009, BOSTON, MA 02215-5527
(270) 302-9386
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
KY
Enumeration date
04/27/2021
Last updated
10/30/2022
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