Individual
MARTIN BENOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
292 N MAIN ST, LEOMINSTER, MA 01453-2207
(978) 534-1600
Mailing address
292 N MAIN ST, LEOMINSTER, MA 01453-2207
(978) 534-1600
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1896
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011290
BEACON HEALTH
MA
01
—
320818
HARVARD PILGRIM HC
MA
01
—
716848
TUFTS HP
MA
01
—
W02045
BCBS
MA
Enumeration date
12/28/2006
Last updated
07/08/2007
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