Individual provider · NPI-1

Dr. Sean Robert Bennett, MD PhD

Clinic/Center, Research · Charlottesville, VA

NPI number1205480753
StatusActive
Last updated in NPPESAug 1, 2019

Details

NPI
1205480753
Entity type
Individual (NPI-1)
Name
Dr. Sean Robert Bennett
Credential
MD PhD
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 1, 2019
Last updated
Aug 1, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR1100X Clinic/Center, Research0101240200VAYes

Practice location

433 Ednam Drive
Charlottesville, VA 22903

Phone 603-236-2258

Mailing address

433 Ednam Drive
Charlottesville, VA 22903

Phone 603-236-2258

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