Individual
RICHARD BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2007 N BLACK HORSE PIKE, WILLIAMSTOWN, NJ 08094-9120
(302) 709-4497
(302) 733-0854
Mailing address
PO BOX 658, BLACKWOOD, NJ 08012-0658
(856) 740-4888
(856) 740-0558
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26N007675500
NJ
Other
Enumeration date
08/09/2006
Last updated
06/12/2008
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