Individual
DAVID M BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7 CAMBRIDGE DR STE 201, TRUMBULL, CT 06611-4763
(203) 335-0195
(203) 335-7293
Mailing address
7 CAMBRIDGE DR STE 201, TRUMBULL, CT 06611-4763
(203) 335-0195
(203) 335-7293
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
55084
CT
207RN0300X
Nephrology Physician
Primary
55084
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326337940
—
CT
Enumeration date
04/04/2011
Last updated
05/14/2024
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