Benzer, Theodore
Benzer, Theodore is an sole proprietor health care provider with primary practice located at 55 Fruit St Zero Emerson Place Suite 3B, Boston MA 02114-2621. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Benzer, Theodore can be contacted via phone (617) 724-4100.Contact Information
Primary practice address
55 Fruit St Zero Emerson Place Suite 3B
Boston MA 02114-2621
Phone: (617) 724-4100
Fax: (617) 726-9202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 47427 | Massachusetts |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 47427 | Massachusetts |
Profile Details
| NPI number | 1679563860 |
|---|---|
| LBN Legal business name | Benzer, Theodore |
| Credentials | MD PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Nov 19th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679563860 | NPPES |
| Massachusetts | Other | J04226 | BCBS MA |
| Massachusetts | Other | 047427 | BCBS MA |
| Massachusetts | MEDICAID | 6187838 | BCBS MA |
Popular Providers
-
Mayer, Robert James
450 Brookline Ave Dana Farber Cancer Institute, D-1608, Boston MA 02215-5418 -
Chin, Danny
15 Parkman St Internal Medicine Associates Team 2 Wac 615, Boston MA 02114-3117 -
Gardiner, Matthew F
243 Charles St Massachusetts Eye And Ear Infirmary, Boston MA 02114-3002 -
Chung, Raymond T
55 Fruit St , Boston MA 02114-2621 -
Waxman, Aaron B
75 Francis St Pbb Clinics-3, Boston MA 02115-6110 -
Birks, Caroline
15 Parkman St Bulfinch Medical Group, Wang 535, Boston MA 02114-3117 -
Pinto, Duane Sidney
1 Deaconess Rd Palmer 415, Boston MA 02215-5321 -
Simon, Harvey Bruce
55 Fruit St Infectious Disease Associates Grb 504, Boston MA 02114-2621