Organization
DIANE M DEBENEDETTO
Active
Organization
DIANE M DEBENEDETTO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE MARIE DEBENEDETTO MD (OWNER)
(413) 527-7952
Entity
Organization
Contact information
Practice address
132 COTTAGE STREET, EASTHAMPTON, MA 01027
(413) 527-7952
(413) 529-0603
Mailing address
132 COTTAGE STREET, EASTHAMPTON, MA 01027
(413) 527-7952
(413) 529-0603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39594
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N01755
BCBS
MA
Enumeration date
07/08/2008
Last updated
07/08/2008
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