Individual
DR. BENJAMIN T DAVIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, GRJ 5, BOSTON, MA 02114-2696
(617) 724-1930
(617) 726-7653
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
76244
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3138470
—
MA
01
—
760327
TUFTS HEALTH PLAN
MA
01
—
J31242
BCBS MA
MA
Enumeration date
10/25/2005
Last updated
07/08/2007
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