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DR. JEFFREY P BENNETT MD

>> Specialist >> Other Service Providers

Registrant NPI Number: 1811987837

Individual Registrant:
DR. JEFFREY P BENNETT MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
780 MAIN ST  SOUTH WEYMOUTH, MA 02190-1622 US
Tel: 781-331-4600  Fax: 781-337-5095

Contact information for business:
780 MAIN ST  SOUTH WEYMOUTH, MA 02190-1622 US
Tel: 781-331-4600  Fax: 781-337-5095

Registration Information:
NPI: 1811987837
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y174400000XOther Service Providers
Specialist
MA80483

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
TUFTS080483MA01
UNITED HEALTHCARE1900203MA01
US HEALTHCARE5876102MA01
FALLON36006MD01
9718672MA05
BLUE SHIELDJ31062MA01
NEIGHBORHOOD HEALTH PLAN0000455MA01
CIGNA2807577003MA01
HARVARD PILGRIM27360MA01




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