Benotti, Joseph Ralph

Benotti, Joseph Ralph is an sole proprietor health care provider with primary practice located at 123 Summer St Suite 660, Worcester MA 01608-1216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Benotti, Joseph Ralph can be contacted via phone (508) 363-6330.

Contact Information

Primary practice address
123 Summer St Suite 660 Worcester MA 01608-1216
Fax: (508) 363-7555
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 40836 Massachusetts

Profile Details

NPI number 1861487761
LBN Legal business name Benotti, Joseph Ralph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2005
Last updated Oct 25th, 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 1861487761 NPPES
Massachusetts MEDICAID 2070189
Massachusetts Other 300275
Massachusetts Other 45921
Massachusetts Other 0022212
Massachusetts Other 040836
Massachusetts Other 25-00766
Massachusetts Other 37986
Massachusetts Other 987754
Massachusetts Other 2294752
Massachusetts MEDICAID 003069318
Massachusetts Other 060059416
Massachusetts Other N01821

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