Individual
EMILY ANNE BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
42 APPLEGATE LN, WOODBURY, CT 06798-3816
(203) 598-5294
Mailing address
42 APPLEGATE LN, WOODBURY, CT 06798-3816
(203) 598-5294
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6893
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
12/02/2024
Last updated
02/11/2025
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