Individual
ROBERT JOSEPH DIBENEDETTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23 CRESTFIELD RD, BOONTON, NJ 07005-9007
(973) 216-6049
Mailing address
23 CRESTFIELD RD., BOONTON TOWNSHIP, NJ 07005
(973) 216-6049
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
25MA02906200
NJ
208600000X
Surgery Physician
Primary
25MA02906200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222283772
HORIZON AETNA CIGNA
—
01
—
22393
HEALTHNET
OK
01
—
PCE155
OXFORD
—
Enumeration date
09/23/2006
Last updated
07/26/2017
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