Individual
JUSTIN B BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 MAIN ST, LEWISTON, ME 04240-7027
(207) 795-2641
(207) 753-7201
Mailing address
20 TARRATINE DR, BRUNSWICK, ME 04011-9515
(603) 733-6361
(603) 733-6361
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
018565
ME
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
MD18565
ME
Other
Enumeration date
05/27/2008
Last updated
07/20/2022
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