Individual
MR. BENEDICT JOSEPH DIRUSSO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH., MBA
Contact information
Practice address
75 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-4960
(617) 496-6664
Mailing address
20 DANBY RD, STONEHAM, MA 02180-3004
(781) 279-0788
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18312
MA
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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