Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 261860 | MA |
N | 208000000X | Pediatrician | 57896 | TN |
N | 2080P0207X | Pediatric Hematology-Oncologist | 261860 | MA |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 57896 | TN |
NPI | 1174822985 |
---|---|
Provider Name | Dr. Daniel Joseph Benedetti |
First Address | Nashville, TN 37232-9900 |
Second Address | Nashville, TN 37232 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2011 |
Last Update Date | 15/10/2020 |