DR. SOJA PARK BENNETT MD NPI 1942290671

NPI Information

  • NPI: 1942290671
  • Provider Name: DR. SOJA PARK BENNETT, MD
  • Classification: Pediatrics - 2080P0205X
  • Specialization: Pediatric Endocrinology
  • Entity Type: Individual
  • Address: 15 PARKMAN ST
    PEDIATRIC ALLERGY YAW 6C
    BOSTON, MA
    ZIP 02114
  • Phone: (617) 726-2909

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NPI Details

DR. Soja Park Bennett, MD is a pediatric endocrinology pediatrics in Boston, MA. The provider is a pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. 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 9/11/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics73633MASSACHUSETTSNo
22080P0205XPediatricsPediatric Endocrinology73633MASSACHUSETTSYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13081125MEDICAIDMASSACHUSETTS
2728160OTHERMASSACHUSETTSTUFTS HEALTH PLAN
3J10670OTHERMASSACHUSETTSBCBS MA

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: 11/21/2025

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