Individual
MR. RICHARD DEAN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RB
Contact information
Practice address
926 W TIOGA ST, ALLENTOWN, PA 18103-4961
(610) 782-0324
Mailing address
926 W. TIOGA STREET, ALLENTOWN, PA 18103-1810
(610) 782-0324
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
560486
NY
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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