Individual
MARK D BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(857) 307-4000
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(857) 307-4000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
254471
MA
390200000X
Student in an Organized Health Care Education/Training Program
4301096146
MI
Other
Enumeration date
05/17/2010
Last updated
07/13/2013
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