Bennett, Jeffrey P

Bennett, Jeffrey P is an individual health care provider with primary practice located at 780 Main St , South Weymouth MA 02190-1622. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bennett, Jeffrey P can be contacted via phone (781) 331-4600.

Contact Information

Primary practice address
780 Main St South Weymouth MA 02190-1622
Phone: (781) 331-4600
Fax: (781) 337-5095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 80483 Massachusetts

Profile Details

NPI number 1811987837
LBN Legal business name Bennett, Jeffrey P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Jan 4th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811987837 NPPES
Massachusetts Other 080483 TUFTS
Massachusetts Other J31062 TUFTS
Massachusetts Other 1900203 TUFTS
Massachusetts Other 5876102 TUFTS
Massachusetts Other 27360 TUFTS
Massachusetts Other 36006 TUFTS
Massachusetts Other 0000455 TUFTS
Massachusetts Other 2807577003 TUFTS
Massachusetts MEDICAID 9718672 TUFTS

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