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Individual

DR. JEFFREY S BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 212-3601
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 212-3601

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
57.026377
OH
2080P0202X
Pediatric Cardiology Physician
Primary
35.130813
OH

Other

Enumeration date
04/03/2015
Last updated
06/29/2022
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