Individual
DR. LAURA R BENZAQUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
151 EVERETT AVE, CHELSEA HEALTHCARE CENTER, CHELSEA, MA 02150-1807
(617) 884-8300
(617) 889-8579
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 884-8300
(617) 889-8579
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
155913
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103080
—
MA
01
—
155913
TUFTS HEALTH PLAN
MA
01
—
J22745
BCBS MA
MA
Enumeration date
10/26/2005
Last updated
02/14/2014
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