Benitez, Jose Luis

Benitez, Jose Luis is an individual health care provider with primary practice located at 170 Draper Ave , North Attleboro MA 02760-3604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Benitez, Jose Luis can be contacted via phone (508) 695-9421.

Contact Information

Primary practice address
170 Draper Ave North Attleboro MA 02760-3604
Phone: (508) 695-9421
Fax: (508) 695-1341
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 241352 Massachusetts

Profile Details

NPI number 1962530691
LBN Legal business name Benitez, Jose Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated Nov 30th, 2011 - about 13 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 1962530691 NPPES
Massachusetts Other J46314 BCBS MA
Massachusetts MEDICAID 110082636A BCBS MA
Massachusetts Other AA153514 BCBS MA

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