Individual
BENJAMIN WISE BOTSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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