Individual
STEVEN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5 PERRYRIDGE RD, GREENWICH, CT 06830-4608
(203) 863-3448
Mailing address
5 PERRYRIDGE RD, GREENWICH, CT 06830-4608
(203) 863-3916
(203) 863-4445
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
042956
CT
208VP0000X
Pain Medicine Physician
Primary
042956
CT
Other
Enumeration date
08/10/2005
Last updated
08/22/2019
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