Provider Demographics
NPI:1679535660
Name:GEWURZ, BENJAMIN ELISON (MD)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:ELISON
Last Name:GEWURZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:111 PERKINS ST
Mailing Address - Street 2:APARTMENT 272
Mailing Address - City:JAMAICA PLAIN
Mailing Address - State:MA
Mailing Address - Zip Code:02130-4313
Mailing Address - Country:US
Mailing Address - Phone:617-733-4534
Mailing Address - Fax:617-732-6839
Practice Address - Street 1:15 FRANCIS ST,
Practice Address - Street 2:BRIGHAM AND WOMEN'S HOSPITAL DIVISION OF INFECTIOUS DIS
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02130
Practice Address - Country:US
Practice Address - Phone:617-732-8881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MABB5204071 BG26207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease