IndividualActive
Andrew Bennett, M.D., PH.D.
NPI 1104067966 · Diagnostic Radiology Physician · Worcester, MA
Provider details
- NPI number
- 1104067966
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 235534 (MA)
Practice location
55 Lake Ave North
Worcester, MA 01655-0002
Phone: (508) 334-3850
Fax: (508) 334-9108
Mailing address
Po Box 415348
Boston, MA 02241-5348
Registry dates
- Enumerated
- 2009-03-09
- Last updated
- 2024-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.