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Individual

JAMES BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1900 GARDEN RD, SUITE 110, MONTEREY, CA 93940-5373
(831) 372-5841
(831) 372-4820
Mailing address
1900 GARDEN RD, SUITE 110, MONTEREY, CA 93940-5373
(831) 372-5841
(831) 372-4820

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G84345
CA
2080A0000X
Pediatric Adolescent Medicine Physician
G84345
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G843450
CA
Enumeration date
03/20/2007
Last updated
08/02/2022
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