DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SEAN ROBERT BENNETT, MD PHD

Active Sole Proprietor

DR. SEAN ROBERT BENNETT, MD PHD is a 261QR1100X healthcare provider located in CHARLOTTESVILLE, Virginia. NPI 1205480753 is currently active in the NPPES registry. Verify at CMS.

261QR1100X · CHARLOTTESVILLE, VA

Registration Details

NPI Number
1205480753
Provider Type
Individual
Gender
Male
NPI Issued
Aug 1, 2019 (6.9950025633995 yrs)
Last Updated
Aug 1, 2019
License
0101240200 (VA)
Sole Proprietor
Yes

Practice Information

Address
433 EDNAM DRIVE
CHARLOTTESVILLE, VA, 22903
Browse VA providers · Browse ZIP 22903
Phone
6032362258
Primary Specialty
261QR1100X
261QR1100X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.