Individual
BENJAMIN HOLOBOWICZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
11 JOHN STARK HWY, NEWPORT, NH 03773
(603) 863-4100
(603) 863-3585
Mailing address
11 JOHN STARK HWY, NEWPORT, NH 03773-1807
(603) 863-4100
(603) 863-3585
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0433P
NH
363A00000X
Physician Assistant
0550030828
VT
363AM0700X
Medical Physician Assistant
0433P
NH
Other
Enumeration date
06/04/2006
Last updated
07/02/2018
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