Individual
BENJAMIN T JEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
133 CLARENDON ST, UNIT 171471, BOSTON, MA 02116-5132
(361) 236-5360
Mailing address
75 ARLINGTON ST, SUITE 500, BOSTON, MA 02116-3936
(361) 236-5360
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
—
—
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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