Jaimee A Benes Dettmer, M.D. Valid NPI

Individual provider · Obstetrics & Gynecology Physician · Bridgeport, CT

NPI

1609080431

Type

Individual (Type 1)

Primary specialty

Obstetrics & Gynecology Physician (Obstetrics & Gynecology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207V00000X

License number

045.45 (CT)

Sex

Female

Sole proprietor

No

Enumerated

2007-05-10

Last updated

2007-07-08