Individual
JORGE M LOPEZ-BENITEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 WASHINGTON ST, N.E. MED. CTR., NOME 286, BOSTON, MA 02111-1526
(617) 636-7285
Mailing address
750 WASHINGTON ST, BOSTON, MA 02111-1526
(617) 636-7285
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
158074
MA
Other
Enumeration date
05/28/2006
Last updated
11/15/2011
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