Organization Name: | ANTHONY A BENNETT M D P C |
NPI Number: | 1316994213 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTHONY A BENNETT (RADIOLOGIST) |
Mailing Address: | 29777 Telegraph Rd Southfield |
State: | MI US |
Postal Code: | 480347625 |
Phone Number: | 2488948019 |
Fax Number: | 2487990473 |
NPI Enumeration Date: | 05/27/2006 |
NPI Last Update Date: | 03/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | AB063302 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |