Individual
DR. NICHOLAS JOHN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MB/BCHIR, PHD
Contact information
Practice address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(860) 545-9000
Mailing address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(860) 545-9000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
050190
CT
2080P0208X
Pediatric Infectious Diseases Physician
050190
CT
Other
Enumeration date
07/02/2008
Last updated
10/01/2013
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