Individual provider · Type 1 NPI

Justina A. Bennett, PA-C

Medical Physician Assistant · Frederick, MD

NPI number 1598946006 Active

Practice location

85 Thomas Johnson Ct, Suite C, Internal Medicine Specialists Of Frederick
Frederick, MD 21702

Call (301) 668-9393 Map

Fax (301) 668-4480

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XC03652 (MD)
Medical Physician Assistant Primary 363AM0700XC0003652 (MD)

Medical Physician Assistant: Definition to come...

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About NPI 1598946006

Justina A. Bennett, PA-C's National Provider Identifier is 1598946006, issued on Nov 27, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Frederick, MD. The record was last updated on May 10, 2017.