Provider Demographics
NPI:1932186772
Name:SOLKY, BENJAMIN ARTHUR (MD)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:ARTHUR
Last Name:SOLKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 SAINT BOTOLPH ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5119
Mailing Address - Country:US
Mailing Address - Phone:617-501-8440
Mailing Address - Fax:
Practice Address - Street 1:160 SAINT BOTOLPH ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5119
Practice Address - Country:US
Practice Address - Phone:617-501-8440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA219215207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2105870Medicaid
MASO A38601Medicare ID - Type Unspecified