# DR. MICHAEL J BENNETT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1598961922
- **Gender:** Man
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NC2000X | Children's Hospital | 25MS00011000 | NJ | Yes |

## Other

- **Enumeration date:** 06/22/2007
- **Last updated:** 07/08/2007