Individual
BETTINA T BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-4960
(617) 495-8414
(617) 496-0560
Mailing address
75 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-4960
(617) 495-8414
(617) 496-0560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
59424
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3047679
—
MA
Enumeration date
09/21/2006
Last updated
01/14/2015
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