Individual
BENJAMIN WISE BOTSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
281 LINCOLN ST, WORCESTER, MA 01605-2138
(508) 334-6855
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
291105
MA
207WX0107X
Retina Specialist (Ophthalmology) Physician
303727
NY
Other
Enumeration date
06/14/2016
Last updated
10/17/2024
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