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NPI Code Detail

MEDICARE: DR. ARNOLD BENARDETTE M.D.

MEDICARE: DR. ARNOLD BENARDETTE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician23555WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336172576
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ARNOLD BENARDETTE M.D.
Provider Business Mailing Address
First Line : 622 ODELL ST
Second Line :
City : MADISON
State : WI
Zip : 53711-1435
Country : US
Telephone Number : 608-257-9700
Fax Number :
Provider Business Practice Location Address
First Line : 675 W WASHINGTON AVE
Second Line :
City : MADISON
State : WI
Zip : 53703-2637
Country : US
Telephone Number : 608-257-9700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2006
Last Update Date : 07/08/2007

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