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Individual

DR. BENEDITO A. CARNEIRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2853
(401) 793-7151
(401) 793-7132
Mailing address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2853
(401) 793-7151
(401) 793-7132

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
036115617
IL
207RX0202X
Medical Oncology Physician
Primary
MD15932
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036115617
IL STATE LICENSE
IL
01
MD15932
RI MEDICAL STATE LICENSE
RI
Enumeration date
05/27/2006
Last updated
12/09/2025
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