Individual
BRIAN R BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
77 NELSON ST, SUITE 310, AUBURN, NY 13021-1944
(315) 253-4463
(315) 253-5624
Mailing address
77 NELSON ST, SUITE 310, AUBURN, NY 13021-1944
(315) 253-4463
(315) 253-5624
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
240010
NY
Other
Enumeration date
05/04/2006
Last updated
09/07/2007
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