Individual
EMELIA J. BENJAMIN
Active
Individual
EMELIA J. BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, SCM
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
59484
MA
207RC0000X
Cardiovascular Disease Physician
Primary
59484
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110048275A
—
MA
05
—
3111348
—
NH
01
—
59484
MASSACHUSETTS BOARD OF REGISTRATION IN MEDICINE
MA
Enumeration date
12/08/2005
Last updated
02/03/2022
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