Individual
JOSE LUIS BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
170 DRAPER AVE, NORTH ATTLEBORO, MA 02760-3604
(508) 695-9421
(508) 695-1341
Mailing address
170 DRAPER AVE, NORTH ATTLEBORO, MA 02760-3604
(508) 695-9421
(508) 695-1341
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
241352
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110082636A
—
MA
01
—
AA153514
HPHC
MA
01
—
J46314
BCBS MA
MA
Enumeration date
03/02/2007
Last updated
11/30/2011
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