Individual
DR. JEFFREY P BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
780 MAIN ST, SOUTH WEYMOUTH, MA 02190-1622
(781) 331-4600
(781) 337-5095
Mailing address
780 MAIN ST, SOUTH WEYMOUTH, MA 02190-1622
(781) 331-4600
(781) 337-5095
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
80483
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000455
NEIGHBORHOOD HEALTH PLAN
MA
01
—
080483
TUFTS
MA
01
—
1900203
UNITED HEALTHCARE
MA
01
—
27360
HARVARD PILGRIM
MA
01
—
2807577003
CIGNA
MA
01
—
36006
FALLON
MD
01
—
5876102
US HEALTHCARE
MA
05
—
9718672
—
MA
01
—
J31062
BLUE SHIELD
MA
Enumeration date
10/21/2005
Last updated
01/04/2016
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