Individual
BENJAMIN D PRENTISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UMASS MEMORIAL HEALTHCARE, 55 LAKE AVE NORTH, WORCESTER, MA 01655
(508) 334-1000
Mailing address
55 LAKE AVE N, UMASS MEDICAL SCHOOL DEPT OF CARDIOLOGY, WORCESTER, MA 01655-0002
(508) 334-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
230394
MA
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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