Organization
STUART H. BENTKOVER, MD PC
Active
Other names
Bentkover Facial Plastic Surgery&Laser Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART HOWARD BENTKOVER M.D. (PRESIDENT)
(508) 363-6500
Entity
Organization
Contact information
Practice address
123 SUMMER ST, SUIT 675, WORCESTER, MA 01608-1216
(598) 363-6500
(508) 363-6501
Mailing address
123 SUMMER ST, SUIT 675, WORCESTER, MA 01608-1216
(598) 363-6500
(508) 363-6501
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
38152
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2039486
—
MA
Enumeration date
08/31/2006
Last updated
02/17/2017
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