Most Relevant Information
Provider Data
| NPI Number: | 1003336645 |
| Provider Name: | BENJAMIN YOUNG OD |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 5282 |
Most Important Dates
| Enumeration Date: | 06/25/2017 |
| Last Updated: | 12/07/2021 |
Provider Practice Location
4199 WASHINGTON ST # 2
ROSLINDALE
MA
021311733
Practice Location Phone/Fax
| Phone: | 6173237300 |
| Fax: |
Provider Mailing Location
4199 WASHINGTON ST # 2
ROSLINDALE
MA
021311733
Provider Mailing Phone/Fax
| Phone: | 6173237300 |
| Fax: |