Dr BENJAMIN FONTAINE is a male medical professional, specializing in Physician Assistant. He graduated in 2015.
RIVERBEND MEDICAL GROUP INC
230 MAIN ST
AGAWAM
MA
010011838
Tel: 4137896800
| Npi | 1750764247 |
| Pac Id | 9032423876 |
| Professional Enrollment Id | I20150806011594 |
| Last Name | FONTAINE |
| First Name | BENJAMIN |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | RIVERBEND MEDICAL GROUP INC |
| Group Practice Pac Id | 5698064343 |
| Number Of Group Practice Members | 187 |
| Line 1 Street Address | 230 MAIN ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | AGAWAM |
| State | MA |
| Zip Code | 010011838 |
| Phone Number | 4137896800 |
| Hospital Affiliation Ccn 1 | 220066 |
| Hospital Affiliation Lbn 1 | MERCY MEDICAL CTR |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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