Healthcare Provider Details

I. General information

NPI: 1760814925
Provider Name (Legal Business Name): EDUARDO BENCHIMOL SAAD MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2013
Last Update Date: 08/10/2023
Certification Date: 08/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 PILGRIM RD # BAKER4
BOSTON MA
02215-5324
US

IV. Provider business mailing address

AV BORGES DE MEDEIROS 3407 301
RIO DE JANEIRO RJ
22470001
BR

V. Phone/Fax

Practice location:
  • Phone: 617-667-8800
  • Fax:
Mailing address:
  • Phone: 552181591000
  • Fax: 552122479610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number1013222
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: