Organization
ROBERT T. BENNETT, M.D.,PA
Active
Organization
ROBERT T. BENNETT, M.D.,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT T BENNETT MD (PRESIDENT)
(910) 763-6257
Entity
Organization
Contact information
Practice address
2512 DELANEY RD, WILMINGTON, NC 28403-6002
(910) 763-6257
(910) 343-0171
Mailing address
2512 DELANEY RD, WILMINGTON, NC 28403-6002
(910) 763-6257
(910) 343-0171
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
9700858
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891109P
—
NC
Enumeration date
08/23/2006
Last updated
08/22/2020
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