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Individual

MATTHEW BENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LDO

Contact information

Practice address
1 PORTER SQ, CAMBRIDGE, MA 02140-1431
(617) 864-7005
(617) 864-3250
Mailing address
1 PORTER SQ, CAMBRIDGE, MA 02140-1431
(617) 864-7005
(617) 864-3250

Taxonomy

Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
6243
MA
156FX1800X
Optician
Primary
6243
MA

Other

Enumeration date
02/17/2015
Last updated
02/17/2015
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