DR. Mark J Dibenedetto, M.D.
NPI #1619940269 in Port Jefferson, New York
Provider Information
- NPI Number
- 1619940269
- Entity Type
- Individual
- Name
- DR. Mark J Dibenedetto, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine
- Credential
- M.D.
- Enumeration Date
- Feb 13, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 710 MAIN ST
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777-2223
- Phone
- (631) 474-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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