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1154804268
BENJAMIN CHAMBERLAIN
BURLINGTON, MA
NPI
1154804268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MA PA6736)
Enumeration Date
2018-09-13
Last Update Date
2019-01-04
Business Address
BENJAMIN CHAMBERLAIN PA
41 MALL RD
BURLINGTON, MA 01805-0001
Phone number: 781-744-5100
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Mailing Address
BENJAMIN CHAMBERLAIN PA
LAHEY PROVIDER ENROLLMENT DEPARTMENT 41 MALL ROAD
BURLINGTON, MA 01805-0001
Phone number: 781-744-8085
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