Individual
DR. RONALD RALPH BENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, YAW 6D, BOSTON, MA 02114-2621
(617) 726-2728
(617) 724-3948
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-2728
(617) 724-3948
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31555
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031555
TUFTS HEALTH PLAN
MA
05
—
2066181
—
MA
01
—
M08673
BCBS MA
MA
Enumeration date
10/27/2005
Last updated
11/09/2012
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