Individual
DR. BENNETT TERRENCE SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8317 CHERRY LN, LAUREL, MD 20707-4830
(301) 776-0070
(301) 725-7817
Mailing address
8317 CHERRY LN, LAUREL, MD 20707-4830
(301) 776-0070
(301) 725-7817
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0054488
MD
Other
Enumeration date
01/03/2006
Last updated
12/02/2009
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