National Provider Identifier

Douglas Bennett, M.D.

Douglas Bennett, M.D. is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Rochester, NY and a listed phone number of (585) 266-0310.

NPI 1942314513Rochester, NYPediatrics Physician

Profile Overview

NPI
1942314513
Provider Type
Individual
Primary Specialty
Pediatrics Physician
Enumeration Date
August 19, 2006
Last Updated
September 23, 2022

Practice Location

  • 809 East Ridge Road
  • Rochester, NY 14621

Phone: (585) 266-0310

Specialties

  • Pediatrics Physician (208000000X)
Full Record
NPI
1942314513
Entity Type
Individual
Last Name
Bennett
First Name
Douglas
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
809 East Ridge Road
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621
Mailing Country
US
Mailing Phone
(585) 266-0310
Mailing Fax
(585) 266-9207
Practice Street Address
809 East Ridge Road
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621
Practice Country
US
Practice Phone
(585) 266-0310
Practice Fax
(585) 266-9207
Enumeration Date
August 19, 2006
Last Updated
September 23, 2022
Sex
Male
Sole Proprietor
Yes
Certification Date
September 23, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatrics Physician (208000000X)