Individual
MR. MICHAEL ANTHONY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
517 HOLLY KNOLL DR, CHURCHVILLE, PA 18966-1439
(215) 828-3777
Mailing address
517 HOLLY KNOLL DR, CHURCHVILLE, PA 18966-1439
(215) 828-3777
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP030521
PA
Other
Enumeration date
09/23/2024
Last updated
09/24/2024
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