Benedetto Dermatology, Llc

LBN: Benedetto Dermatology, Llc
Benedetto Dermatology, Llc is an health care organization with primary practice located at 1200 Locust St , Philadelphia PA 19107-5605. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as the primary health care specialty. Benedetto Dermatology, Llc can be contacted via phone (215) 546-3666, or through Benedetto, Anthony V via phone (215) 546-3666.

Contact Information

Primary practice address
1200 Locust St Philadelphia PA 19107-5605
Fax: (215) 546-6060
Website:
Authorized official contact:
Name: Benedetto, Anthony V Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 207ND0101X Pennsylvania

Profile Details

NPI number 1972771129
LBN Legal business name Benedetto Dermatology, Llc
DBA Doing business as
Authorized official Benedetto, Anthony V Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2008
Last updated Dec 16th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972771129 NPPES
Pennsylvania Other 101750 HIGHMARK BLUE SHIELD
Pennsylvania Other 0274011000 HIGHMARK BLUE SHIELD

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