Individual
BENJAMIN CROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 SALEM ST APT 120, LYNNFIELD, MA 01940-1572
(978) 979-1711
Mailing address
1200 SALEM ST APT 120, LYNNFIELD, MA 01940-1572
(978) 979-1711
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1153362
NCCPA
MA
Enumeration date
04/25/2018
Last updated
04/25/2018
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