DR. Thomas Omar Bennett, M.D.

NPI #1427051911 in Merrillville, Indiana

Provider Information

NPI Number: 1427051911
Entity Type: Individual
Name: DR. Thomas Omar Bennett, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: May 27, 2005
Last Updated: Mar 26, 2014

Practice Location

Address: 8679 CONNECTICUT ST
Address 2: STE A
City: Merrillville
State: Indiana
ZIP Code: 46410-6383
Phone: (219) 769-9022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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