Individual
MARA BENSSON-RAVUNNIARATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 STANIFORD ST, BOSTON, MA 02114-2517
(617) 724-6610
Mailing address
50 STANIFORD ST FL 9, BOSTON, MA 02114-2506
(617) 724-6610
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
291312
MA
Other
Enumeration date
03/25/2019
Last updated
08/04/2022
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