Individual
HARVEY BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 PARK ST, NEW HAVEN, CT 06504-8901
(203) 785-4081
(203) 737-7635
Mailing address
PO BOX 23831, NEWARK, NJ 07189-0001
(973) 971-7184
(973) 290-8349
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
25MA07909100
NJ
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
73087
CT
Other
Enumeration date
02/21/2006
Last updated
02/13/2023
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