Individual
MR. BENJAMIN LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 ORTHOPEDICS DR, PEABODY, MA 01960-1668
(978) 818-6350
Mailing address
1 ORTHOPEDICS DR, PEABODY, MA 01960-1668
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA4611
MA
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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