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Individual
EDWARD V BENNETT JR.
Active
Individual
EDWARD V BENNETT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
140950-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00803627
—
NY
Enumeration date
08/09/2005
Last updated
06/12/2013
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