Organization
BENEDETTO DERMATOLOGY,LLC
Active
Other names
Dermatologic SurgiCenter
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY V BENEDETTO D.O. (MEDICAL DIRECTOR)
(215) 546-3666
Entity
Organization
Contact information
Practice address
1200 LOCUST ST, DERMATOLOGIC SURGICENTER, PHILADELPHIA, PA 19107-5605
(215) 546-3666
(215) 546-6060
Mailing address
1200 LOCUST ST, DERMATOLOGIC SURGICENTER, PHILADELPHIA, PA 19107-5605
(215) 546-3666
(215) 546-6060
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
04841500
PA
Other
Enumeration date
06/09/2006
Last updated
12/16/2014
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