Individual
BENNETT SLUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 DORCHESTER AVE, DORCHESTER, MA 02124-5666
(618) 296-4000
Mailing address
2100 DORCHESTER AVE, DORCHESTER, MA 02124-5615
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
280977
NY
207R00000X
Internal Medicine Physician
280977
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280977
—
MA
Enumeration date
06/20/2019
Last updated
09/18/2023
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