Individual
DR. STEVEN WESLEY BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2414 PENNSYLVANIA AVE, BALTIMORE, MD 21217-1722
(443) 447-1661
(410) 466-2154
Mailing address
3300 ROYAL FERN WAY, WINDSOR MILL, MD 21244-1164
(443) 447-1661
(410) 466-2154
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01235
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
700501600
—
MD
Enumeration date
01/30/2006
Last updated
03/30/2011
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