Individual
DR. BENJAMIN DAVID MEDOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, PULMONARY AND CRITICAL CARE, BUL 148, BOSTON, MA 02114-2621
(617) 726-1721
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
150732
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
150732
MA
207RP1001X
Pulmonary Disease Physician
150732
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3156141
—
MA
01
—
755774
TUFTS HEALTH PLAN
MA
01
—
J16991
BCBS MA
MA
Enumeration date
12/06/2005
Last updated
09/26/2025
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