Provider Demographics
NPI:1851691471
Name:BENOIT-JAMBAZIAN, MELANY
Entity Type:Individual
Prefix:
First Name:MELANY
Middle Name:
Last Name:BENOIT-JAMBAZIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 MOUNTAIN ST
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01070-9757
Mailing Address - Country:US
Mailing Address - Phone:413-687-1230
Mailing Address - Fax:
Practice Address - Street 1:6 MOUNTAIN ST
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:MA
Practice Address - Zip Code:01070-9757
Practice Address - Country:US
Practice Address - Phone:413-687-1230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-29
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist