Individual
DR. JACQUELINE DEBENEDETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
718 TEANECK RD, TEANECK, NJ 07666-4245
(201) 541-5929
(201) 379-5758
Mailing address
3 UNIVERSITY PLZ STE 205, HACKENSACK, NJ 07601-6208
(201) 833-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA12422000
NJ
207R00000X
Internal Medicine Physician
304028
NY
Other
Enumeration date
05/14/2018
Last updated
05/05/2025
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