Individual
DR. THOMAS HENRY DEBENEDICTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4808 BERGENLINE AVE, SUITE 202, UNION CITY, NJ 07087-5172
(201) 863-0036
(201) 863-0727
Mailing address
4808 BERGENLINE AVE, SUITE 202, UNION CITY, NJ 07087-5172
(201) 863-0036
(201) 863-0727
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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