Individual
DR. ELISE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1800 ORLEANS ST RM 6005, BALTIMORE, MD 21287
(410) 955-9441
Mailing address
1800 ORLEANS ST RM 6005, BALTIMORE, MD 21287-0010
(410) 955-9441
(877) 991-5265
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD476628
PA
Other
Enumeration date
03/30/2017
Last updated
05/31/2022
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