Individual
BENJAMIN T SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, DOWLING 1 SOUTH, BOSTON, MA 02118-2908
(617) 414-5481
(617) 414-7759
Mailing address
PO BOX 414402, BOSTON, MA 02241-0001
(866) 898-7138
(616) 975-9824
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
228233
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2137241
—
MA
01
—
496292
TUFTS
MA
01
—
J42015
BCBS
MA
Enumeration date
08/25/2006
Last updated
05/05/2008
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