Individual
JAMES BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
38 BROAD ST, QUINCY, MA 02169-4604
(617) 770-3314
Mailing address
38 BROAD ST, QUINCY, MA 02169-4604
(617) 770-3314
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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