Mariko Bennett
Pediatrician Child Neurologist
3401 Civic Center Blvd
Philadelphia
, Pennsylvania 19104-4319
Mariko Bennett
Pediatrician Child Neurologist
3401 Civic Center Blvd
Philadelphia
, Pennsylvania 19104-4319
(215) 590-1722
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About
Features
Specialties
- Pediatrician
- Child Neurologist
Languages spoken
- English
Location
First Address
- Mariko Bennett
- 3401 Civic Center Blvd
- Philadelphia, PA
- Zip : 19104-4319
- Phone : (215) 590-1722
Second Address
- Mariko Bennett
- 3401 Civic Center Blvd
- Philadelphia, PA
- Zip : 19104-4319
- Phone : (215) 590-1722
Reviews
FAQs
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What type of doctor is Mariko Bennett
In what state does Mariko Bennett practice in?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | MT215615 | PA |
| Y | 2084N0402X | Child Neurologist | MT215615 | PA |
National Provider Identifier
| NPI | 1184117269 |
|---|---|
| Provider Name | Mariko Bennett |
| First Address | Philadelphia, PA 19104-4319 |
| Second Address | Philadelphia, PA 19104-4319 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/06/2018 |
| Last Update Date | 26/06/2020 |
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.