Organization
IRONDEQUOIT PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS HOWARD BENNETT M.D. (MD, OWNER)
(585) 266-0310
Entity
Organization
Contact information
Practice address
809 EAST RIDGE ROAD, ROCHESTER, NY 14621-1710
(585) 266-0310
(585) 266-9207
Mailing address
809 EAST RIDGE ROAD, ROCHESTER, NY 14621-1710
(585) 266-0310
(585) 266-9207
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/18/2011
Last updated
11/16/2018
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