Individual
GERARDINE BENEDETTO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
44 S STATE ST, VINELAND, NJ 08360-4851
(856) 691-9915
(856) 691-5241
Mailing address
203 KNOTTY OAK DR, MOUNT LAUREL, NJ 08054-2100
(856) 778-4299
(856) 691-5241
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40QA00116200
NJ
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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