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Individual

JEREMY A. BENEDETTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-3000
Mailing address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-3000

Taxonomy

Speciality
Code
Description
License number
State
163WS0121X
Plastic Surgery Registered Nurse
0101263196
VA
208200000X
Plastic Surgery Physician
MD24934
OR
208200000X
Plastic Surgery Physician
Primary
MD60986017
WA
208200000X
Plastic Surgery Physician
ME99859
FL

Other

Enumeration date
08/31/2006
Last updated
06/08/2021
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