Individual
MR. BERNARD J BENEDETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 BORTHWICK AVE STE 308, PORTSMOUTH, NH 03801-7112
(603) 431-5242
(603) 431-5091
Mailing address
104 ENDICOTT ST, SUITE 200, DANVERS, MA 01923-3623
(978) 882-6868
(978) 882-6828
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
19048
NH
208600000X
Surgery Physician
236697
MA
208600000X
Surgery Physician
MD11776
RI
2086S0102X
Surgical Critical Care Physician
11776
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2102811
—
MA
Enumeration date
06/21/2005
Last updated
06/29/2020
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