Dr. Elise Rebecca Bender
Family Doctor
111 Grossman Dr
Braintree
, Massachusetts 02184-4997
Dr. Elise Rebecca Bender
Family Doctor
111 Grossman Dr
Braintree
, Massachusetts 02184-4997
(781) 849-1000
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Elise Rebecca Bender
- 111 Grossman Dr
- Braintree, MA
- Zip : 02184-4997
- Phone : (781) 849-1000
Second Address
- Dr. Elise Rebecca Bender
- 111 Grossman Dr
- Braintree, MA
- Zip : 02184-4997
- Phone : (781) 849-1000
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 250398 | MA |
| N | 207Q00000X | Family Doctor | LP01652 | RI |
National Provider Identifier
| NPI | 1003044272 |
|---|---|
| Provider Name | Dr. Elise Rebecca Bender |
| First Address | Braintree, MA 02184-4997 |
| Second Address | Braintree, MA 02184-4997 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/06/2009 |
| Last Update Date | 06/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| RES-000 | (02) | RI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.