Individual
ALAN HUGH BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
592 STATE ROUTE 28, RAQUETTE LAKE, NY 13436-1907
(315) 354-4151
Mailing address
PO BOX D, NEWMARKET, NH 03857-0569
(201) 618-7093
(603) 397-5585
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
138178
NY
Other
Enumeration date
06/20/2020
Last updated
06/20/2020
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