Individual
BENJAMIN CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 COLCHESTER AVE, DEPT. OF FAMILY MEDICINE, BURLINGTON, VT 05401
(802) 847-2700
Mailing address
111 COLCHESTER AVE, DEPT. OF FAMILY MEDICINE, BURLINGTON, VT 05401-1473
(724) 433-5832
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042.0014142
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
VT
Other
Enumeration date
03/23/2015
Last updated
09/05/2018
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