Organization
RJ DIBENEDETTO MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JOSEPH DIBENEDETTO MD (OWNER)
(973) 216-6049
Entity
Organization
Contact information
Practice address
23 CRESTFIELD RD, BOONTON, NJ 07005-9007
(973) 216-6049
Mailing address
23 CRESTFIELD RD, BOONTON, NJ 07005-9007
(973) 216-6049
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA02906200
NJ
Other
Enumeration date
05/26/2017
Last updated
07/21/2022
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