| Doctor Name: | DR. TIMOTHY GERARD BENSON |
| NPI Number: | 1003959834 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 230949 |
| Business Practice Address: | 64 Church St Cambridge, MA - 021383730 |
| Business Phone Number: | 8883329932 |
| Business Fax Number: | |
| Mailing Address: | 64 Church St, CAMBRIDGE |
| State: | MA |
| Postal Code: | 021383730 |
| Phone Number: | 8883329932 |
| Fax Number: | |
| NPI Enumeration Date: | 02/14/2007 |
| NPI Last Update Date: | 03/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084S0010X |
| License Number: | 230949 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Sports Medicine |
| Taxonomy Definition: | A psychiatrist or neurologist who specializes in the diagnosis and treatment of sports related conditions and injuries. |