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Individual

EDMOND BENEDETTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 FRUIT STREET, WHITE 437, BOSTON, MA 02114
(617) 643-2652
Mailing address
55 FRUIT STREET, WHITE 437, BOSTON, MA 02114

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101282237
VA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/06/2020
Last updated
07/15/2025
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