Individual
DR. BENJAMIN JOHN F MOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Mailing address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
(617) 636-9993
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
245114
MA
207L00000X
Anesthesiology Physician
Primary
261880
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
245114
MA
207R00000X
Internal Medicine Physician
245114
MA
208VP0000X
Pain Medicine Physician
261880
MA
Other
Enumeration date
09/08/2010
Last updated
12/15/2023
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