Individual
MR. BENJAMIN BURDET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
55 FRUIT ST, WHITE 1, BOSTON, MA 02114-2621
(617) 724-4100
(617) 726-7415
Mailing address
55 FRUIT ST, WHITE 1, BOSTON, MA 02114-2621
(617) 724-4100
(617) 726-7415
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5099
MA
Other
Enumeration date
08/21/2014
Last updated
12/13/2016
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