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Individual

BARRY J BENJAMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 LYONS ST, DEDHAM, MA 02026-5599
(617) 421-5984
(781) 278-5667
Mailing address
1 LYONS ST, DEDHAM, MA 02026-5599
(617) 421-5984
(781) 278-5667

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35621
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0016755
NEIGHBORHOOD HEALTH PLAN
01
035621
TUFTS BENEFIT ADMIN
01
040007325
RAILROAD MEDICARE
01
2053136
MASS HEALTH
01
27399
CHILDREN'S MEDICAL SECURI
01
61094
HARVARD/PILGRIM
01
897246
FIRST SENIORITY
01
9627202
HEALTHSOURCE-MA
01
C07067
BS-BLUE CARE ELECT
Enumeration date
06/28/2005
Last updated
01/28/2021
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