Provider Demographics
NPI:1548425952
Name:BENDL, JENNIFER (DO)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:
Last Name:BENDL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:PILC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1500 POST ROAD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:DARIEN
Mailing Address - State:CT
Mailing Address - Zip Code:06820-5935
Mailing Address - Country:US
Mailing Address - Phone:203-655-8701
Mailing Address - Fax:203-655-8948
Practice Address - Street 1:1500 POST ROAD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:DARIEN
Practice Address - State:CT
Practice Address - Zip Code:06820-5935
Practice Address - Country:US
Practice Address - Phone:203-655-8701
Practice Address - Fax:203-655-8948
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT050010207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine