Individual
BENJAMIN J BOVELL-AMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
140 HIGH ST, SPRINGFIELD, MA 01105-1442
(413) 794-2511
(413) 794-8428
Mailing address
280 CHESTNUT STREET, 2ND FLLOOR, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
287992
MA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
287992
MA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
287992
MA
Other
Enumeration date
03/21/2017
Last updated
10/13/2023
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