Individual
BENJAMIN MATTHEW VIERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
25 SHATTUCK ST, BOSTON, MA 02115-6027
(617) 432-1000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
3016603
MA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/21/2022
Last updated
06/21/2024
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