Individual
ROBERT R BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 NORTH ST, SUITE 301, PITTSFIELD, MA 01201
(413) 499-8570
(413) 499-8565
Mailing address
777 NORTH STREET, PITTSFIELD, MA 01201
(413) 499-8570
(413) 499-8565
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
75676
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000022178
BMC HEALTH NET PLAN
—
01
—
0000799
NEIGHBORHOOD HEALTH PLAN
—
01
—
043517461
CIGNA
—
01
—
10034446
CAPITAL DISTRICT PHP
—
01
—
10540
HEATH NEW ENGLAND
—
01
—
153344
MVP SELECT
—
01
—
160052693
MEDICARE RAILROAD
—
01
—
2345333
AETNA
—
05
—
3094561
—
MA
01
—
32596
HEALTHY START
—
01
—
80314
GIC INDEMNITY PLAN
—
01
—
F29387
HARVARD COMM HEALTH
—
01
—
J12595
BLUE SHIELD
—
Enumeration date
11/04/2005
Last updated
05/22/2017
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