Benedetto, Laura A

Benedetto, Laura A is an individual health care provider with primary practice located at 628 Hebron Ave Suite 107, Glastonbury CT 06033-5007. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Benedetto, Laura A can be contacted via phone (860) 657-3376.

Contact Information

Primary practice address
628 Hebron Ave Suite 107 Glastonbury CT 06033-5007
Phone: (860) 657-3376
Fax: (860) 633-6040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 000275 Connecticut

Profile Details

NPI number 1710951009
LBN Legal business name Benedetto, Laura A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jul 12th, 2007 - about 19 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 1710951009 NPPES
Connecticut Other 0492835 CIGNA #
Connecticut Other 3776879 CIGNA #
Connecticut Other 040000275CT05 CIGNA #
Connecticut Other 050275 CIGNA #
Connecticut Other 2V6050 CIGNA #

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