Individual
WILLIAM BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 KENNEDY MEMORIAL DR # C, WATERVILLE, ME 04901-4517
(207) 872-9511
(207) 861-5466
Mailing address
325 KENNEDY MEMORIAL DR # C, WATERVILLE, ME 04901-4517
(207) 872-9511
(207) 861-5466
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
007873
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000948
ANTHEM
—
05
—
135660099
—
ME
01
—
M53261
CIGNA
—
01
—
P00223084
RAILROAD MEDICARE
—
Enumeration date
12/08/2006
Last updated
04/07/2008
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