Individual
EMELIA J. BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, SCM
Contact information
Practice address
732 HARRISON AVENUE, PRESTON, 3RD FLOOR, BOSTON, MA 02118-2309
(617) 638-7490
(617) 414-8742
Mailing address
801 ALBANY ST FL G, BOSTON, MA 02119-3791
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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