Bennett, Mariko

Bennett, Mariko is an sole proprietor health care provider with primary practice located at 3401 Civic Center Blvd , Philadelphia PA 19104-4319. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is her primary health care specialty. Bennett, Mariko can be contacted via phone (215) 590-1722.

Contact Information

Primary practice address
3401 Civic Center Blvd Philadelphia PA 19104-4319
Phone: (215) 590-1722
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MT215615 Pennsylvania
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X MT215615 Pennsylvania

Profile Details

NPI number 1184117269
LBN Legal business name Bennett, Mariko
Credentials MD, PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2018
Last updated Jun 26th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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