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NPI Code Detail

MEDICARE: ANTHONY V BENEDETTO D.O.

MEDICARE:   ANTHONY V BENEDETTO  D.O.
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
1207N00000XDermatology PhysicianH59494MD

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 : 1831154871
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY V BENEDETTO D.O.
Provider Business Mailing Address
First Line : 1200 LOCUST ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19107-5605
Country : US
Telephone Number : 215-546-3666
Fax Number : 215-546-6060
Provider Business Practice Location Address
First Line : 1200 LOCUST ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19107-5605
Country : US
Telephone Number : 215-546-3666
Fax Number : 215-546-6060
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2006
Last Update Date : 12/06/2010

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Directions to “ ANTHONY V BENEDETTO D.O.” Practice Location

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