Individual
BENNETT N GAEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
167 DWIGHT RD # 104, LONGMEADOW, MA 01108
(413) 567-5533
(413) 567-9010
Mailing address
167 DWIGHT RD # 104, THERAPEUTIC ASSOCIATES PC, LONGMEADOW, MA 01108
(413) 567-5533
(413) 567-9010
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
76592
MA
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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