Individual
JASPREET KAUR BENIPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
24 NEWTON ST, SOUTHBOROUGH, MA 01772-1215
(508) 460-3291
(508) 460-3139
Mailing address
24 NEWTON ST, SOUTHBOROUGH, MA 01772-1215
(508) 460-3291
(508) 460-3139
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
1018791
MA
207KA0200X
Allergy Physician
OS021966
PA
2080P0201X
Pediatric Allergy/Immunology Physician
1018791
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110208097A
—
MA
Enumeration date
04/24/2017
Last updated
07/25/2024
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