Active NPIIndividual provider

Andrew E Bennett, MD, PHD

Radiology, Diagnostic Radiology in Worcester, Massachusetts

NPI Number1104067966
Practice location
55 Lake Ave North, Worcester, MA 01655-0002
Fax
508-334-9108
Last updated
November 19, 2024

Andrew Ernest Bennett is a Radiology, Diagnostic Radiology based in Worcester, MA. Andrew Ernest Bennett practices in Worcester, MA and has the professional credentials of MD, PHD. The NPI Number for Andrew Ernest Bennett is 1104067966 and holds a License No. 235534 (MA). The current practice location address for Andrew Ernest Bennett is 55 Lake Ave North, Worcester, MA 01655-0002 and can be reached out via phone at 508-334-3850 and via fax at 508-334-9108.

Provider Profile Details

NPI Number
1104067966
Provider Name
Andrew Ernest Bennett
Credential
MD, PHD
Provider Entity Type
Individual
Gender
Male
Address
55 Lake Ave North, Worcester, MA 01655-0002
Phone Number
508-334-3850
Fax Number
508-334-9108
Primary Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Sole Proprietor
No
Provider Enumeration Date
March 9, 2009
Last Update Date
November 19, 2024
Certification Date
November 19, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Lake Ave North
Worcester, MA 01655-0002
Zip
01655-0002
Phone Number
508-334-3850
Fax Number
508-334-9108
Worcester, MA 01655Get directions →

Provider Business Mailing Address Details

Address
Po Box 415348
Boston, MA 02241-5348
City
Boston
State
MA
Zip
02241-5348
Phone Number
800-225-8885
Fax Number
508-334-1977

License Information

License Number
235534
License State
MA
Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Andrew E Bennett, MD, PHD?

The NPI number of Andrew E Bennett, MD, PHD is 1104067966. It was assigned on March 9, 2009 and is currently active in the NPPES registry.

What is the specialty of Andrew E Bennett, MD, PHD?

Andrew E Bennett, MD, PHD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in MA under license number 235534.

Where does Andrew E Bennett, MD, PHD practice?

The practice location is 55 Lake Ave North, Worcester, MA 01655-0002. The office can be reached at 508-334-3850 (phone) or 508-334-9108 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104067966 directly on the NPPES registry website.

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