Individual
THOMAS WORD BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
8272
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103389Y0NH01
ANTHEM
NH
05
—
80000954
—
NH
01
—
C01973
CIGNA
NH
01
—
H003311
TRICARE
NH
01
—
P394952
OXFORD HEALTH
NH
Enumeration date
09/14/2006
Last updated
07/08/2007
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