Individual
BENJAMIN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
289 MAIN ST, HAMPTON, CT 06247-1420
(646) 407-0992
Mailing address
289 MAIN ST, HAMPTON, CT 06247-1420
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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