# STUART H. BENTKOVER, MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bentkover Facial Plastic Surgery&Laser Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760594469
- **Authorized official:** DR. STUART HOWARD BENTKOVER M.D. (PRESIDENT)
- **Authorized official phone:** (508) 363-6500

## Contact information

- **Practice address:** 123 SUMMER ST, SUIT 675, WORCESTER, MA 01608-1216
- **Practice address phone:** (598) 363-6500
- **Practice address fax:** (508) 363-6501
- **Mailing address:** 123 SUMMER ST, SUIT 675, WORCESTER, MA 01608-1216
- **Mailing address phone:** (598) 363-6500
- **Mailing address fax:** (508) 363-6501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YS0123X | Facial Plastic Surgery Physician | 38152 | MA | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 02/17/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2039486 | — | MA |