Individual
ANTHONY V BENEDETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1200 LOCUST ST, PHILADELPHIA, PA 19107-5605
(215) 546-3666
(215) 546-6060
Mailing address
1200 LOCUST ST, PHILADELPHIA, PA 19107-5605
(215) 546-3666
(215) 546-6060
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
H59494
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400413200
—
MD
Enumeration date
04/20/2006
Last updated
12/06/2010
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