Bentley, Mari J

Bentley, Mari J is an individual health care provider with primary practice located at 850 Harrison Avenue Yacc 5, Boston MA 02118. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bentley, Mari J can be contacted via phone (617) 414-2000.

Contact Information

Primary practice address
850 Harrison Avenue Yacc 5 Boston MA 02118
Fax: (617) 414-5798
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101261551 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 209027 Massachusetts

Profile Details

NPI number 1043299027
LBN Legal business name Bentley, Mari J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Sep 13th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043299027 NPPES
Massachusetts MEDICAID 110004861A

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