Individual
MR. DAVID JOSEPH BENEDUCI SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS LPC
Contact information
Practice address
107 ASBURY AVE, OCEAN GROVE, NJ 07756-1401
(732) 610-3112
Mailing address
107 ASBURY AVE, OCEAN GROVE, NJ 07756-1401
(732) 610-3112
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210634494
EMPLOYER TAX I.D. NUMBER
NJ
Enumeration date
12/22/2006
Last updated
09/20/2010
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