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Benjamin David Packard, DO
Student in an Organized Health Care Education/Training Program in Farmington, Connecticut
NPI 1457047086

Benjamin David Packard is a Student in an Organized Health Care Education/Training Program based in Farmington, CT. Benjamin David Packard practices in Farmington, CT and has the professional credentials of DO. The NPI Number for Benjamin David Packard is 1457047086 and holds a License No. (Connecticut).

The current practice location address for Benjamin David Packard is 263 Farmington Ave # Lg065, Farmington, CT and can be reached out via phone at 860-679-4988 and via fax at 860-679-3489.

Location: 263 Farmington Ave # Lg065, Farmington, CT, 06030-1921
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457047086
Provider Name
Benjamin David Packard
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
263 Farmington Ave # Lg065, Farmington, CT, 06030-1921
Phone Number
860-679-4988
Fax Number
860-679-3489
Provider Enumeration Date
04/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
263 Farmington Ave # Lg065
City
Farmington
State
Connecticut
Zip
06030-0001
Phone Number
860-679-4988
Fax Number
860-679-3489
person
Provider Business Mailing Address Details
Address
263 Farmington Ave # Lg065
City
Farmington
State
Connecticut
Zip
06030-0001
Phone Number
860-679-4988
Fax Number
860-679-3489
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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