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Dr. Benjamin Young, OD

Optometrist in Roslindale, MA. Individual provider (NPI-1).

NPI number1003336645
StatusActive
Last updated in NPPESDec 7, 2021

Details

NPI
1003336645
Entity type
Individual (NPI-1)
Name
Dr. Benjamin Young
Credential
OD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 25, 2017
Certification date
Dec 7, 2021
Last updated
Dec 7, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist5282MAYes

Practice location

4199 Washington St # 2
Roslindale, MA 02131-1733

Phone 617-323-7300

Mailing address

4199 Washington St # 2
Roslindale, MA 02131-1733

Phone 617-323-7300

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