Individual
DR. KENNETH JOHN DEBENEDICTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
SIXTH AVE AND SPRUCE ST, THE READING HOSPITAL, WEST READING, PA 19611
(610) 988-5450
Mailing address
445 MATSONFORD RD, WAYNE, PA 19087-4623
(610) 527-1584
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
7149E
PA
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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