Individual
DR. RAYMOND J BENEDETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
623 W UNION BLVD, SUITE 3, BETHLEHEM, PA 18018-3708
(610) 974-9911
(610) 974-9988
Mailing address
623 W UNION BLVD, SUITE 3, BETHLEHEM, PA 18018-3708
(610) 974-9911
(610) 974-9988
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009152
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000240543001
UNITED HEALTH CARE
PA
05
—
100898290-0001
—
PA
01
—
1048579
ASH
PA
01
—
2258662000
INDEPENDENCE BLUE CROSS
PA
01
—
BE1578027
HIGHMARK BLUE SHIELD
PA
Enumeration date
04/18/2006
Last updated
07/09/2007
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