National Provider Identifier
Matthew A Bennett, M.D.
Matthew A Bennett, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in North Tonawanda, NY and a listed phone number of (716) 332-2300.
Profile Overview
- NPI
- 1215189378
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- October 21, 2008
- Last Updated
- February 01, 2011
Practice Location
- 624 River RD
- Suite#1
- North Tonawanda, NY 14120-6563
Phone: (716) 332-2300
Mailing Address
- 624 River RD
- Suite #1
- North Tonawanda, NY 14120-6563
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1215189378
- Entity Type
- Individual
- Last Name
- Bennett
- First Name
- Matthew
- Middle Name
- A
- Name Prefix
- Dr.
- Credential
- M.D.
- Provider Other Last Name
- A
- Provider Other First Name
- M
- Provider Other Credential Text
- MD
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 624 River RD
- Mailing Address Line 2
- Suite #1
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-6563
- Mailing Country
- US
- Mailing Phone
- (716) 332-2300
- Mailing Fax
- (716) 332-2280
- Practice Street Address
- 624 River RD
- Practice Address Line 2
- Suite#1
- Practice City
- North Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14120-6563
- Practice Country
- US
- Practice Phone
- (716) 332-2300
- Practice Fax
- (716) 332-2280
- Enumeration Date
- October 21, 2008
- Last Updated
- February 01, 2011
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- 250570 (NY, License)