Individual
BENSON SHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-4000
Mailing address
18 WICKHAM RD, GLASTONBURY, CT 06033-2548
(860) 709-3033
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7191
CT
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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