Individual
DR. JOHN LAWRENCE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
459 CLARENCE ST, JOHNSTOWN, PA 15905-1812
(814) 255-5547
Mailing address
459 CLARENCE ST, JOHNSTOWN, PA 15905-1812
(814) 255-5547
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD014500E
PA
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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