Organization
JOSEPH DIBENEDETTO JR MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA W. DIBENEDETTO (RN,BSN,OCN, PRACTICE MANAGER)
(401) 351-4470
Entity
Organization
Contact information
Practice address
193 WATERMAN ST, PROVIDENCE, RI 02906-4014
(401) 351-4470
(401) 351-0163
Mailing address
193 WATERMAN ST, PROVIDENCE, RI 02906-4014
(401) 351-4470
(401) 351-0163
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD004989
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000644
BLUECHIP
—
01
—
30-00103
UNITED HEALTH
—
01
—
369-0
BLUECROSS
—
Enumeration date
02/25/2008
Last updated
05/28/2008
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