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Organization
JOSEPH DIBENEDETTO JR MD INC
Active
Organization
JOSEPH DIBENEDETTO JR MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA W. DIBENEDETTO (RN,BSN,OCN, PRACTICE MANAGER)
(401) 351-4470
Entity
Organization
Contact information
Practice address
193 WATERMAN ST, PROVIDENCE, RI 02906-4014
(401) 351-4470
(401) 351-0163
Mailing address
193 WATERMAN ST, PROVIDENCE, RI 02906-4014
(401) 351-4470
(401) 351-0163
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD004989
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000644
BLUECHIP
—
01
—
30-00103
UNITED HEALTH
—
01
—
369-0
BLUECROSS
—
Enumeration date
02/25/2008
Last updated
05/28/2008
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