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Individual

BENNETT IRA FEIN

Active
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Individual

BENNETT IRA FEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101243894
VA
207RG0100X
Gastroenterology Physician
200401498
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1033265848
VA
05
5900806
NC
Enumeration date
01/25/2007
Last updated
05/26/2011
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