Park Bennett, Soja

Park Bennett, Soja is an individual health care provider with primary practice located at 15 Parkman St Pediatric Allergy Yaw 6C, Boston MA 02114-3117. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Park Bennett, Soja can be contacted via phone (617) 726-2909.

Contact Information

Primary practice address
15 Parkman St Pediatric Allergy Yaw 6C Boston MA 02114-3117
Phone: (617) 726-2909
Fax: (617) 724-0581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 73633 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 73633 Massachusetts

Profile Details

NPI number 1942290671
LBN Legal business name Park Bennett, Soja
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Jul 8th, 2007 - about 19 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 1942290671 NPPES
Massachusetts MEDICAID 3081125
Massachusetts Other 728160
Massachusetts Other J10670

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