Individual
DR. JORGE BENAVIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2970 MENDON RD, 153, CUMBERLAND, RI 02864-3463
(401) 658-3566
Mailing address
2970 MENDON RD, 153, CUMBERLAND, RI 02864-3463
(401) 658-3566
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD03459
RI
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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