Individual
VIVIANA BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
280556
MA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
56752
CT
Other
Enumeration date
03/26/2011
Last updated
07/03/2019
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