NPI 1053637389 · live from the CMS NPI Registry
Alyssa S Bennett, M.D.
Pediatrics in Farmington, CT. National Provider Identifier 1053637389, active.
NPI record
| NPI | 1053637389 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics 208000000X |
| Practice location | 599 Farmington Ave, Farmington, CT 06032 |
| Practice phone | 860-837-7681 |
| Mailing address | 505 Farmington Ave Fl 2, Farmington, CT 06032 |
| Enumerated | April 12, 2010 |
| Last updated | September 23, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Adolescent Medicine | 2080A0000X | 054925 (CT) |
| Pediatrics primary | 208000000X | 054925 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.