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Amy Rose Benenson, MSPAS,PA-C
Medical Physician Assistant in Willimantic, Connecticut
NPI 1427788009

Amy Rose Benenson is a Medical Physician Assistant based in Ledyard, CT and is specialized in Medical. Amy Rose Benenson practices in Willimantic, CT and has the professional credentials of MSPAS,PA-C. The NPI Number for Amy Rose Benenson is 1427788009 and holds a License No. PA01468 (Connecticut).

The current practice location address for Amy Rose Benenson is 289 Windham Rd, Willimantic, CT and can be reached out via phone at 860-343-0302.

Location: 289 Windham Rd, Willimantic, CT, 06339-1250
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427788009
Provider Name
Amy Rose Benenson
Credential
MSPAS,PA-C
Provider Entity Type
Individual
Gender
Female
Address
289 Windham Rd, Willimantic, CT, 06339-1250
Phone Number
860-343-0302
Fax Number
Provider Enumeration Date
06/15/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA01468 05 RI
institution
Provider Business Practice Location Address Details
Address
289 Windham Rd
City
Willimantic
State
Connecticut
Zip
06226-3528
Phone Number
860-343-0302
Fax Number
person
Provider Business Mailing Address Details
Address
289 Windham Rd
City
Willimantic
State
Connecticut
Zip
06226-3528
Phone Number
860-343-0302
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
License No.
5717 (Connecticut)
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA01468 (Rhode Island)
Definition
Definition to come...
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