Individual provider · Type 1 NPI

Thomas Omar Bennett, MD

Specialist · Merrillville, IN

NPI number 1427051911 Active

Practice location

8679 Connecticut St, Ste A
Merrillville, IN 46410-6383

Fax (219) 769-1918

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X01030607A (IN)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1427051911

Thomas Omar Bennett, MD's National Provider Identifier is 1427051911, issued on May 27, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Merrillville, IN. The record was last updated on Mar 26, 2014.