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Individual

DR. ALYSSA S BENNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
599 FARMINGTON AVE, FARMINGTON, CT 06032-2381
(860) 837-7681
(860) 837-5361
Mailing address
505 FARMINGTON AVE FL 2, FARMINGTON, CT 06032-1901
(860) 837-7681
(860) 837-5361

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
054925
CT
2080A0000X
Pediatric Adolescent Medicine Physician
054925
CT

Other

Enumeration date
04/12/2010
Last updated
09/23/2022
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