Benedetto, Bernard J
Benedetto, Bernard J is an individual health care provider with primary practice located at 330 Borthwick Ave Ste 308 , Portsmouth NH 03801-7112. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Benedetto, Bernard J can be contacted via phone (603) 431-5242.Contact Information
Primary practice address
330 Borthwick Ave Ste 308
Portsmouth NH 03801-7112
Phone: (603) 431-5242
Fax: (603) 431-5091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 236697 | Massachusetts |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD11776 | Rhode Island |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 11776 | Rhode Island |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 19048 | New Hampshire |
Profile Details
| NPI number | 1023014487 |
|---|---|
| LBN Legal business name | Benedetto, Bernard J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Jun 29th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023014487 | NPPES |
| Massachusetts | MEDICAID | 2102811 |
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