Individual
DR. THOMAS HENRY DEBENEDICTIS
Active
Individual
DR. THOMAS HENRY DEBENEDICTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
MD00155300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013076256
GROUP NPI
NJ
01
—
1194792366
NPI
NJ
05
—
3354601
—
NJ
05
—
4775104
—
NJ
Enumeration date
03/07/2006
Last updated
07/21/2010
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