Individual
BENJAMIN SHAW NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
88 E NEWTON ST, C515, BOSTON, MA 02118-2308
(617) 638-8442
(617) 638-8409
Mailing address
88 E NEWTON ST, C515, BOSTON, MA 02118-2308
(617) 638-8442
(617) 638-8409
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
267551
MA
208600000X
Surgery Physician
MD24311
ME
Other
Enumeration date
03/29/2016
Last updated
03/04/2021
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