Individual
DR. PETER BENET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
479 BUCKLAND RD, SOUTH WINDSOR, CT 06074-3739
(860) 644-1111
Mailing address
50 HUNTER DR, WEST HARTFORD, CT 06107-1014
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
021984
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001219840
—
CT
Enumeration date
08/31/2006
Last updated
10/15/2015
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