Individual
DR. DOUGLAS P BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
525 CENTRAL AVE STE C, WESTFIELD, NJ 07090
(973) 538-5844
(973) 267-0181
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
25MB08051400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MB08051400
STATE LICENSE
NJ
Enumeration date
07/14/2006
Last updated
06/05/2018
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