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DR. SOJA PARK BENNETT MD NPI 1942290671


NPI Information

NPI: 1942290671
Provider Name: DR. SOJA PARK BENNETT, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
15 PARKMAN ST
PEDIATRIC ALLERGY YAW 6C
BOSTON, MA
ZIP 02114
Phone: (617) 726-2909
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DR. Soja Park Bennett, MD is a pediatrics in Boston, MA. The provider is 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Soja Park Bennett, MD NPI is 1942290671. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15 PARKMAN ST
PEDIATRIC ALLERGY YAW 6C
BOSTON, MA
ZIP 02114-117
Phone: (617) 726-2909
Fax: (617) 724-0581

The enumeration date for this NPI number is 10/25/2005 and was last updated on 7/8/2007.


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
1208000000XPediatrics73633MASSACHUSETTSYes
22080P0205XPediatricsPediatric Endocrinology73633MASSACHUSETTSX

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
1D67799MEDICARE UPIN
2J10670OTHERMASSACHUSETTSBCBS MA
3J10670MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
43081125MEDICAIDMASSACHUSETTS
5728160OTHERMASSACHUSETTSTUFTS HEALTH PLAN

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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