Individual
JACQUES BENISTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CHILDREN'S HOSPITAL, 300 LONGWOOD AVE, BOSTON, MA 02115
(617) 919-2430
Mailing address
CHILDREN'S HOSPITAL, 300 LONGWOOD AVENUE, BOSTON, MA 02115
(617) 919-2430
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
207797
MA
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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