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General NPI Number Information
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NPI Number | 1740064989
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Entity Type | Individual
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Provider Name | GARY BENEDETTI DC
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Gender | Male
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Dates
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Enumeration Date | 08/21/2023
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Last Update Date | 01/05/2024
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Provider Practice Location Address
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Address Line | 259 POST RD
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City | WESTERLY
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State | RI
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Zip | 02891-2601
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Country | US
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Telephone | 401-322-8822
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Fax |
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Provider Business Mailing Address
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Address Line | 259 POST RD
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City | WESTERLY
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State | RI
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Zip | 02891-2601
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Country | US
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Telephone | 401-322-8822
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Fax | 401-725-0066
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DCP00716
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License Number State | RI
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