Organization
DEBENEDICTIS & TESTA, DPM, PA
Active
Other names
DeBenedictis & Testa , DPM, PA
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLINA VILA (CLINICAL MANAGER)
(201) 863-0036
Entity
Organization
Contact information
Practice address
4808 BERGENLINE AVE, SUITE 202, UNION CITY, NJ 07087-5162
(201) 863-0036
(201) 863-0727
Mailing address
4808 BERGENLINE AVE, SUITE 202, UNION CITY, NJ 07087-5172
(201) 863-0036
(201) 863-0727
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
213ES0131X
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3354601
—
NJ
Enumeration date
12/06/2006
Last updated
01/20/2016
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