Individual
DR. MELISSA AMY BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT STREET GRJ 504, MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114
(617) 726-3812
(617) 726-7416
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
Primary
218418
MA
207RI0200X
Infectious Disease Physician
218418
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2014203
—
MA
01
—
218418
TUFTS HEALTH PLAN
MA
01
—
J26276
BCBS MA
MA
Enumeration date
03/14/2006
Last updated
07/13/2012
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