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Individual

JOSEPH RALPH BENOTTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
123 SUMMER ST, SUITE 660, WORCESTER, MA 01608-1216
(508) 363-6330
(508) 363-7555
Mailing address
123 SUMMER ST, SUITE 660, WORCESTER, MA 01608-1216
(508) 363-6330
(508) 363-7555

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
40836
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0022212
NEIGHBORHOOD HEALTH PLAN
05
003069318
CT
01
040836
TUFTS HEALTH PLAN
01
060059416
RR MC
05
2070189
MA
01
2294752
AETNA
01
25-00766
UNITED HEALTHCARE
01
300275
HARVARD PILGRIM HEALTH CA
01
37986
CIGNA HEALTHCARE
01
45921
FALLON HEALTH PLAN
01
987754
NETWORK HEALTH
01
N01821
BCBS OF MA
MA
Enumeration date
09/16/2005
Last updated
10/25/2010
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