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Individual

NOAH BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9000 FRANKLIN SQUARE DR, BALTIMORE, MD 21237-3901
(410) 230-7813
Mailing address
1203 W OSTEND ST, BALTIMORE, MD 21230-1814

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R206242
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
R206242
MD

Other

Enumeration date
02/19/2019
Last updated
06/07/2019
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