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1710503230
ALAN HUGH BENNETT
RAQUETTE LAKE, NY
NPI
1710503230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208800000X Urology
(Licence: NY 138178)
Enumeration Date
2020-06-20
Last Update Date
2020-06-20
Business Address
ALAN HUGH BENNETT MD
592 STATE ROUTE 28
RAQUETTE LAKE, NY 13436-1907
Phone number: 315-354-4151
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Mailing Address
ALAN HUGH BENNETT MD
PO BOX D
NEWMARKET, NH 03857-0569
Phone number: 201-618-7093
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