Individual
DR. IRWIN KENNETH BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
94 S MAIN ST, MIDDLEBORO, MA 02346-2123
(508) 947-6100
(508) 947-6811
Mailing address
94 S MAIN ST, MIDDLEBORO, MA 02346-2123
(508) 947-6100
(508) 947-6811
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD07659
RI
Other
Enumeration date
07/14/2006
Last updated
04/03/2012
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