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JEFFREY P BENNETT
780 MAIN ST SOUTH WEYMOUTH MA 21901618
JEFFREY P BENNETT is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1811987837. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 1557307535. The primary specialty is UROLOGY. The organization is SOUTH SHORE UROLOGY, INC.. The address is 780 MAIN ST, , SOUTH WEYMOUTH, MA, 21901618. The zip code is 21901618.
|Nation Provider ID||1811987837|
|PAC ID by PECOS||1557307535|
|Professional Enrollment ID||I20050629001070|
|Name||JEFFREY P BENNETT|
|Medical School Name||ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY|
|All secondary specialties|
|Organization Name||SOUTH SHORE UROLOGY, INC.|
|Group Practice PAC ID||8628080769|
|Number of Group Practice members||11|
|Address||780 MAIN ST, , SOUTH WEYMOUTH, MA, 21901618|
|Hospital affiliation LBN||SOUTH SHORE HOSPITAL INC.|