1811938863 NPI number — BENEDETTO DERMATOLOGY,LLC

Table of content: (NPI 1811938863)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811938863 NPI number — BENEDETTO DERMATOLOGY,LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BENEDETTO DERMATOLOGY,LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811938863
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/16/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1200 LOCUST ST
Provider Second Line Business Mailing Address:
DERMATOLOGIC SURGICENTER
Provider Business Mailing Address City Name:
PHILADELPHIA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19107-5605
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-546-3666
Provider Business Mailing Address Fax Number:
215-546-6060

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1200 LOCUST ST
Provider Second Line Business Practice Location Address:
DERMATOLOGIC SURGICENTER
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19107-5605
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-546-3666
Provider Business Practice Location Address Fax Number:
215-546-6060
Provider Enumeration Date:
06/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BENEDETTO
Authorized Official First Name:
ANTHONY
Authorized Official Middle Name:
V
Authorized Official Title or Position:
MEDICAL DIRECTOR
Authorized Official Telephone Number:
215-546-3666

Provider Taxonomy Codes

  • Taxonomy code: 261QA1903X , with the licence number:  04841500 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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