Individual
BENJAMIN MICHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, CSCS
Contact information
Practice address
1844 COMMONWEALTH AVE, AUBURNDALE, MA 02466-2709
(617) 243-2168
Mailing address
85 WARREN AVE APT 1, MARLBOROUGH, MA 01752-3989
(413) 346-8717
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
3367
MA
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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