Individual
DR. THOMAS J DEBENEDICTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
54 ANTIOCH ROAD, TOWNSHIP OF LONG BEACH, NJ 08008
(609) 494-4138
Mailing address
PO BOX 924, BARNEGAT LIGHT, NJ 08006-0924
(609) 494-4138
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MA02328600
NJ
Other
Enumeration date
06/02/2010
Last updated
06/02/2010
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