Organization
CHARLES W BENNETT MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES W BENNETT (OWNER)
(410) 326-6344
Entity
Organization
Contact information
Practice address
11845 HG TRUEMAN RD, LUSBY, MD 20657-2855
(410) 326-6344
(410) 326-0079
Mailing address
11845 HG TRUEMAN RD, LUSBY, MD 20657-2855
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D43306
MD
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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