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Organization

JONATHAN A BENJAMIN, MD & ROGER W SPINGARN, MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JONATHAN A BENJAMIN MD (MANAGING PARTNER)
(617) 244-9929
Entity
Organization

Contact information

Practice address
1400 CENTRE ST, SUITE 203, NEWTON, MA 02459-2454
(617) 244-9929
(617) 244-9935
Mailing address
1400 CENTRE ST, SUITE 203, NEWTON, MA 02459-2454
(617) 244-9929
(617) 244-9935

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
215848
MA
208000000X
Pediatrics Physician
47711
MA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
77573
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
615204
TUFTS HEALTH PLAN
MA
05
9706887
MA
01
M16851
BCBS
MA
Enumeration date
05/31/2007
Last updated
09/11/2025
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