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Organization
ANGELA M BENNETT MEDICAL CORPORATION
Active
Organization
ANGELA M BENNETT MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA MILLER BENNETT MD (PRESIDENT)
(216) 561-8000
Entity
Organization
Contact information
Practice address
20050 HARVARD AVENUE, SUITE 107, WARRENSVILLE HEIGHTS, OH 44122-6800
(216) 561-8000
(216) 561-8005
Mailing address
PO BOX 693, GATES MILLS, OH 44040-0693
(216) 561-8000
(216) 561-8005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/05/2008
Last updated
06/23/2008
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