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Individual

DR. JOHN C. BENANTI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190-2432
(781) 340-8000
Mailing address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190-2432
(781) 340-8000

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
43082
MA

Other

Enumeration date
11/11/2005
Last updated
07/08/2007
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