Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider
is Licensed or Credentialed. For more information please refer to
NPI: What You Need to Know
BENJAMIN ZENDEJAS-MUMMERT MD
Gender: MALE
NPI: 1740576370
![]() |
Last Updated: | 2021-10-28 | ||
Certification Date: | 2021-10-28 |
Details
Name | Value | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NPI | 1740576370 | ||||||||||||
Enumeration Date | 2011-06-22 | ||||||||||||
NPI Type | 1 - Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address |
300 LONGWOOD AVE
BOSTON, MA 02115 United States Phone: 617-355-8445 | Fax: View Map ![]() |
||||||||||||
Primary Practice Address |
300 LONGWOOD AVE
BOSTON, MA 02115 United States Phone: 617-355-6000 | Fax: View Map ![]() |
||||||||||||
Secondary Practice Address |
725 ALBANY STREET
8C
BOSTON, MA 02118 United States Phone: 617-414-5131 | Fax: 617-414-3806 View Map ![]() | ||||||||||||
Health Information Exchange |
|
||||||||||||
Other Identifiers |
|
||||||||||||
Taxonomy |
|