Mr. Bernard J Benedetto
Surgeon Surgical Critical Care
330 Borthwick Ave Ste 308
Portsmouth
, New Hampshire 03801-7112
Mr. Bernard J Benedetto
Surgeon Surgical Critical Care
330 Borthwick Ave Ste 308
Portsmouth
, New Hampshire 03801-7112
(978) 882-6828
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About
Features
Specialties
- Surgeon
- Surgical Critical Care
Languages spoken
- English
Location
First Address
- Mr. Bernard J Benedetto
- 104 Endicott St Suite 200
- Danvers, MA
- Zip : 01923-3623
- Fax : (978) 882-6828
- Phone : (978) 882-6868
Second Address
- Mr. Bernard J Benedetto
- 330 Borthwick Ave Ste 308
- Portsmouth, NH
- Zip : 03801-7112
- Fax : (603) 431-5091
- Phone : (603) 431-5242
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | 19048 | NH |
| Y | 208600000X | Surgeon | 19048 | NH |
| N | 208200000X | Surgeon | 236697 | MA |
| N | 208600000X | Surgeon | 236697 | MA |
| N | 208200000X | Surgeon | MD11776 | RI |
| N | 208600000X | Surgeon | MD11776 | RI |
| N | 2086S0102X | Surgical Critical Care | 11776 | RI |
National Provider Identifier
| NPI | 1023014487 |
|---|---|
| Provider Name | Mr. Bernard J Benedetto |
| First Address | Danvers, MA 01923-3623 |
| Second Address | Portsmouth, NH 03801-7112 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2005 |
| Last Update Date | 29/06/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2102811 | (05) | MA |
| I31978 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.