Individual
MICHAEL I BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
241 PERKINS ST UNIT B801, JAMAICA PLAIN, MA 02130-4072
(617) 738-9204
Mailing address
241 PERKINS ST UNIT B801, JAMAICA PLAIN, MA 02130-4072
(617) 738-9204
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
37978
MA
Other
Enumeration date
07/11/2006
Last updated
01/05/2021
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