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Organization

D A BENEDETTO MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOMINICK A BENEDETTO M.D (PRESIDENT)
(201) 436-1150
Entity
Organization

Contact information

Practice address
124 AVENUE B, BAYONNE, NJ 07002
(201) 436-1150
(201) 436-0161
Mailing address
124 AVENUE B, BAYONNE, NJ 07002
(201) 436-1150
(201) 436-0161

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA3211800
NJ

Other

Enumeration date
01/03/2007
Last updated
02/07/2011
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