Joan Marie Bengtson
Gynecologist
850 Boylston St Suite 402
Chestnut Hill
, Massachusetts 02467-2477
Joan Marie Bengtson
Gynecologist
850 Boylston St Suite 402
Chestnut Hill
, Massachusetts 02467-2477
(857) 307-0896
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Joan Marie Bengtson
- 111 Cypress St
- Brookline, MA
- Zip : 02445-6002
- Phone : (857) 307-0896
Second Address
- Joan Marie Bengtson
- 850 Boylston St Suite 402
- Chestnut Hill, MA
- Zip : 02467-2477
- Phone : (617) 732-9300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | 53708 | MA |
National Provider Identifier
| NPI | 1174508352 |
|---|---|
| Provider Name | Joan Marie Bengtson |
| First Address | Brookline, MA 02445-6002 |
| Second Address | Chestnut Hill, MA 02467-2477 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/12/2005 |
| Last Update Date | 17/07/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A57239 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.