Justina A Bennett in Frederick - Medical

Justina A Bennett - NPI 1598946006

Justina A Bennett is a Medical in Frederick, Maryland. Justina A Bennett practices all healthcare services and medical treatments related to Medical. The NPI Number for Justina A Bennett is 1598946006. The last update date is 2017-05-10.

Justina A Bennett's current location address is 85 Thomas Johnson Ct, Suite C, Frederick, Maryland. You can contact this provider via phone number 3016689393 and fax number 3016684480. The mailing address for Justina A Bennett is 85 Thomas Johnson Ct, Suite C, Frederick, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Justina A Bennett
Address 85 Thomas Johnson Ct, Suite C, Frederick, Maryland
Phone Number 3016689393
Fax Number 3016684480
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1598946006
Provider Enumeration Date 2007-11-27
Last Updated Date 2017-05-10

Provider Mailing Address Detail

Address 85 Thomas Johnson Ct, Suite C
City Frederick
State Maryland (MD)
Post Code 21702
Phone Number 3016689393
Fax Number 3016684480

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No C03652
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Justina A Bennett

What is the unique 10-digit identifier code issued to Justina A Bennett by the Centers for Medicare & Medicaid Services?

The Justina A Bennett has been assigned the NPI (National Provider Identifier) 1598946006 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Justina A Bennett is physically located?

The Justina A Bennett is physically situated at the following address: 85 Thomas Johnson Ct, Suite C, Frederick, MD, 21702.

What is the Justina A Bennett's area of specialization and corresponding taxonomy classification?

The Justina A Bennett's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.

On what date did the Justina A Bennett receive the assignment of its 1598946006 from the Centers for Medicare & Medicaid Services?

The Justina A Bennett was issued its 1598946006 by the Centers for Medicare & Medicaid Services on 2007-11-27.

As of what date was the information regarding Justina A Bennett, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Justina A Bennett, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-05-10.

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