Benedetto, Anthony V

Benedetto, Anthony V is an individual health care provider with primary practice located at 1200 Locust St , Philadelphia PA 19107-5605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Benedetto, Anthony V can be contacted via phone (215) 546-3666.

Contact Information

Primary practice address
1200 Locust St Philadelphia PA 19107-5605
Fax: (215) 546-6060
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X H59494 Maryland

Profile Details

NPI number 1831154871
LBN Legal business name Benedetto, Anthony V
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Dec 6th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831154871 NPPES
Maryland MEDICAID 400413200

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