Individual
SUZANNE DIBENEDETTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
6801 BLACK HORSE PIKE, EGG HARBOR TOWNSHIP, NJ 08234-4115
(609) 415-6350
(609) 484-8702
Mailing address
6801 BLACK HORSE PIKE, EGG HARBOR TOWNSHIP, NJ 08234-4115
(609) 415-6350
(609) 484-8702
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
3875
NJ
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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