Individual
MR. BRUCE ALAN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
421 N MAIN ST, LEEDS, MA 01053-9764
(413) 584-4040
(413) 582-3152
Mailing address
421 N MAIN ST, LEEDS, MA 01053-9764
(413) 584-4040
(413) 582-3152
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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