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Individual

BENJAMIN DAVID LEDERER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
55 JOHN E CUMMINGS WAY, WOONSOCKET, RI 02895-3301
(401) 235-7021
Mailing address
PO BOX 1700, WOONSOCKET, RI 02895-0856
(401) 235-7021

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
250133
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD13493
RI

Other

Enumeration date
08/04/2006
Last updated
05/18/2015
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