Individual
MARK A BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 POWELL ST, NORRISTOWN, PA 19401-3323
(610) 270-2717
(610) 270-2675
Mailing address
PO BOX 820137, PHILADELPHIA, PA 19182-0137
(610) 270-2717
(610) 270-2675
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD051325L
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD051325L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001479660
—
PA
01
—
01479660
AMERICHOICE(UHC)
PA
01
—
050065882
RR MEDICARE
PA
01
—
0724619000
IBC - PC, KHPE, AMERIHEAL
PA
01
—
1099349
KEYSTONE MERCY
PA
01
—
190060
HIGHMARK BLUE SHIELD
PA
01
—
2443406
AETNA HMO
PA
01
—
5981601
AETNA PPO
PA
01
—
8439971
CIGNA HMO/PPO
PA
01
—
9061010
PHCS
PA
01
—
MD051325L
HEALTH PARTNERS
PA
Enumeration date
01/17/2006
Last updated
06/03/2016
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