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BENEDETTO DERMATOLOGY LLC NPI 1972771129


NPI Information

NPI: 1972771129
Provider Name: BENEDETTO DERMATOLOGY, LLC
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

Address:
1200 LOCUST ST
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 546-3666
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BENEDETTO DERMATOLOGY, LLC is a mohs-micrographic surgery dermatology in Philadelphia, PA. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. BENEDETTO DERMATOLOGY, LLC NPI is 1972771129. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1200 LOCUST ST
PHILADELPHIA, PA
ZIP 19107-605
Phone: (215) 546-3666
Fax: (215) 546-6060

The provider's authorized official is Anthony V Benedetto .
The authorized official title is Medical Director and has the following contact phone number (215) 546-3666.

The enumeration date for this NPI number is 2/11/2008 and was last updated on 12/16/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ND0101XDermatologyMOHS-Micrographic Surgery207ND0101XPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10010175000MEDICARE NSCPENNSYLVANIA
2101750OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
30274011000OTHERPENNSYLVANIAINDEPENDENCE BLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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