Shannon M. Bennett, D.O. Valid NPI
Individual provider · Pediatrics Physician · Portland, ME
- NPI
- 1881836203
- Type
- Individual (Type 1)
- Primary specialty
- Pediatrics Physician (Pediatrics)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208000000X
- License number
- DO2387 (ME)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2009-03-31
- Last updated
- 2024-06-18
Practice location
22 Bramhall St
Portland, ME 04102-3134
(207) 662-2541