Individual
BENJAMIN WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
295 VARNUM AVE, LOWELL, MA 01854-2134
(978) 942-2960
Mailing address
295 VARNUM AVE, LOWELL, MA 01854-2193
(978) 942-2960
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA8672
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/27/2021
Last updated
05/23/2023
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