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1396724563
MICHAEL T BENNETT
WORCESTER, MA
NPI
1396724563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MA 1721)
Enumeration Date
2006-01-16
Last Update Date
2016-11-07
Business Address
-- MICHAEL T BENNETT PA-C
55 LAKE AVE N DIVISION OF NEUROSURGERY
WORCESTER, MA 01655-0002
Phone number: 508-334-7042
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Mailing Address
-- MICHAEL T BENNETT PA-C
PO BOX 415348
BOSTON, MA 02241-5348
Phone number: 800-225-8885
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