Mariko Bennett, MD, PHD Valid NPI

Individual provider · Neurology with Special Qualifications in Child Neurology Physician · Philadelphia, PA

NPI

1184117269

Type

Individual (Type 1)

Primary specialty

Neurology with Special Qualifications in Child Neurology Physician (Psychiatry & Neurology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2084N0402X

License number

MT215615 (PA)

Sex

Female

Sole proprietor

Yes

Enumerated

2018-06-12

Last updated

2020-06-26