Individual
MARK D BENSON
Active
Individual
MARK D BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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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