Individual
CAROL B BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 FRANCIS ST, RADIOLOGY BRIGHAM & WOMENS HOSPITAL, BOSTON, MA 02115-6110
(617) 732-6280
Mailing address
75 FRANCIS ST, RADIOLOGY BRIGHAM & WOMENS HOSPITAL, BOSTON, MA 02115-6110
(617) 732-6280
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
52608
MA
2085U0001X
Diagnostic Ultrasound Physician
Primary
52608
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052608
TUFTS HEALTH CARE
MA
05
—
3007359
—
MA
01
—
J04910
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/15/2005
Last updated
08/01/2012
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