Individual
BENJAMIN KINCH MIZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
243 CHARLES ST, DEPT ANESTHESIOLOGY, PERIOP, PAIN MED, BOSTON, MA 02114-3002
(617) 523-7909
Mailing address
243 CHARLES ST, DEPT ANESTHESIOLOGY, PERIOP, PAIN MED, BOSTON, MA 02114-3002
(617) 523-7909
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
252308
MA
Other
Enumeration date
02/09/2009
Last updated
08/03/2012
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