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Individual

DR. JOSEPH DIBENEDETTO JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
193 WATERMAN ST, PROVIDENCE, RI 02906-4014
(401) 351-4470
(401) 351-0163
Mailing address
193 WATERMAN ST, PROVIDENCE, RI 02906-4014
(401) 351-4470
(401) 351-0163

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
4989
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000644
BLUE CHIP ID 3
RI
01
30-00103
UNITED HEALTH PROVIDER #
RI
01
369-0
BLUE CROSS PROVIDER #
RI
01
5284224
AETNA
05
9000369
RI
01
9019RIH
HARVARD PILGRIM HEALTH #
RI
01
RIH9019
HARVARD PILGRIM HEALTH #
RI
Enumeration date
09/06/2005
Last updated
05/28/2008
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