Individual
OSCAR BENAVIDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 CAMBRIDGE ST STE 510, MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114-2794
(617) 726-3824
(617) 643-9643
Mailing address
91 SHAW RD, CHESTNUT HILL, MA 02467-3121
(617) 869-9729
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
218780
MA
2080P0202X
Pediatric Cardiology Physician
Primary
218780
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0036825
NEIGHBORHOOD HEALTH PLAN
MA
05
—
02712614
—
NY
05
—
2113643
—
CT
01
—
494159
TUFTS HEALTH PLAN
MA
01
—
96618601
NETWORK HEALTH
MA
01
—
AA41200
HARVARD PILGRIM
MA
01
—
J29185
HMO BLUE
MA
Enumeration date
01/06/2006
Last updated
01/23/2013
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