Individual
BENJAMIN ST.MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT
Contact information
Practice address
5151 PARK AVE, FAIRFIELD, CT 06825-1000
(203) 396-8179
(203) 365-4704
Mailing address
142 CAMBRIDGE ST, STRATFORD, CT 06614-4711
(860) 508-6332
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
822
CT
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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