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Contact Information

ROBERT L BENNETT JR, MD
1379 E HERNDON AVE
FRESNO, CA93720-3309
 Phone: 559-435-2630
 Fax: 559-435-4319
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ROBERT L BENNETT JR · (Male)

NPI Number 1538189501
Status Active
Credentials MD
Entity Individual
Enumeration date 07/20/2006
Last updated 07/11/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A46086
Hospital affiliation(s)
  • SAINT AGNES MEDICAL CENTER - (Acute Care)
    1303 E HERNDON AVE
    FRESNO, CA 93710
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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