Individual
BENJAMIN CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-5100
Mailing address
LAHEY PROVIDER ENROLLMENT DEPARTMENT, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8085
(781) 744-5433
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6736
MA
Other
Enumeration date
09/13/2018
Last updated
01/04/2019
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