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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942290671 | NPPES |
| Massachusetts | MEDICAID | 3081125 | |
| Massachusetts | Other | 728160 | |
| Massachusetts | Other | J10670 |
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