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STUART H. BENTKOVER MD PC NPI 1760594469


NPI Information

NPI: 1760594469
Provider Name: STUART H. BENTKOVER, MD PC

Doing Business As: BENTKOVER FACIAL PLASTIC SURGERY&LASER CENTER

Classification: Otolaryngology - 207YS0123X
Entity Type: Organization

Specialization: Facial Plastic Surgery

Address:
123 SUMMER ST
SUIT 675
WORCESTER, MA
ZIP 01608
Phone: (598) 363-6500
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STUART H. BENTKOVER, MD PC is a facial plastic surgery otolaryngology in Worcester, MA. The provider is an otolaryngologist who specializes in facial plastic surgery. STUART H. BENTKOVER, MD PC NPI is 1760594469. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bentkover Facial Plastic Surgery&laser Center.

The provider's business location address is:

123 SUMMER ST
SUIT 675
WORCESTER, MA
ZIP 01608-216
Phone: (598) 363-6500
Fax: (508) 363-6501

The provider's authorized official is Stuart Howard Bentkover .
The authorized official title is President and has the following contact phone number (508) 363-6500.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 2/17/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207YS0123XOtolaryngologyFacial Plastic Surgery38152MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B39143MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
22039486MEDICAIDMASSACHUSETTS
3A36101MEDICARE UPINMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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