Soja Park Bennett is a Pediatrics in Boston, Massachusetts. Soja Park Bennett practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Soja Park Bennett is 1942290671. The last update date is 2007-07-08.
Soja Park Bennett's current location address is 15 Parkman St, Boston, Massachusetts. You can contact this provider via phone number 6177262909 and fax number 6177240581. The mailing address for Soja Park Bennett is 15 Parkman St, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Soja Park Bennett |
|---|---|
| Address | 15 Parkman St, Boston, Massachusetts |
| Phone Number | 6177262909 |
| Fax Number | 6177240581 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1942290671 |
|---|---|
| Provider Enumeration Date | 2005-10-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15 Parkman St |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21143117 |
| Phone Number | 6177262909 |
| Fax Number | 6177240581 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 73633 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3081125 | MA | -- | |
| 728160 | MA | TUFTS HEALTH PLAN | |
| J10670 | MA | BCBS MA |
Post Comment/ Review Below
What is the unique provider identifier assigned to Soja Park Bennett?
The Soja Park Bennett has been issued the NPI (National Provider Identifier) 1942290671 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Soja Park Bennett is physically located?
The Soja Park Bennett is situated at the following address: 15 Parkman St, Boston, MA 21143117.
What is the Soja Park Bennett's area of specialization and corresponding taxonomy classification?
The Soja Park Bennett's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1942290671 to Soja Park Bennett?
The Centers for Medicare & Medicaid Services originally issued the 1942290671 to Soja Park Bennett on 2005-10-25.
When was the information regarding Soja Park Bennett most recently updated?
The details pertaining to the Soja Park Bennett, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.