Individual
DR. JOSEPH C BENEDICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 444-5100
(860) 444-3709
Mailing address
PO BOX 902, NEW HAVEN, CT 06504-0902
(203) 397-8000
(203) 389-1540
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
22988
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005488095
AETNA#
CT
05
—
001229881
—
CT
01
—
032344
HEALTHNET#
CT
01
—
061344026
OXFORD HEALTH#
CT
01
—
500HBL160CT01
BC/BS#
CT
01
—
744026
CONNECTICARE#
CT
01
—
C009155
CHAMPUS/TRICARE#
CT
Enumeration date
07/07/2006
Last updated
10/24/2014
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